"Road Trip!" Registration

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"Road Trip!" Family Show Registration

This is the registration for the March 5th performance from 12:45-1:30! *

I understand!

Please list your child(ren)'s name(s) and age(s)
*

Please tell us about your child (i.e. likes, dislikes, interests, hobbies, etc.)
*

Any sensitivities or behaviors we need to know about?
*

Please describe how your child communicates
*

Please describe your child's mobility
*

Caregiver name *

Relation to child *

Please let us know your phone number and/or email

Who else will be going to the show?

Is there anything else you would like to share with us?

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