CPAD Christmas Party!! 聖誕派對
Date: 12/12
Time: 1:45pm-3:45pm
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2021 Christmas Party!!
Parent/Registrant's name(家長姓名) *
Name of child receiving RC services(子女姓名) *
Email Address(電子郵件) *
Phone number (電話) *
Home address 地址  (Address, City, Zip Code) (城市,郵政號碼) *
Age of family member receiving RC services (有特殊需要家庭成員的年齡) *
Diagnosis of family member receiving RC services (有特殊需要家庭成員的診斷) *
Regional Center belong to (您的區域中心) *
Language  spoken (語言 ) *
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