Challenger League Info Log
Challenger League Information Log
email address *
Childs Name *
What would you like to see the Challenger League bring to our area?? This will help us form our long term and short term goals. *
Any suggestions to help us serve your child better?? Any complaints ??? *
Parents Name *
Address *
Phone number *
Cell Phone number *
Age of Child *
Does your child have an Active IEP *
What is your Child's Diagnosis? *
Does you child have violent outbursts? Use bad language? or anything else we should be aware of? This helps us match your child with a buddy
Is your child signed up with Easter Seals for Family support services? *
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