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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)
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Your answer
Name of child receiving RC services(子女姓名)
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Your answer
Email Address(電子郵件)
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Your answer
Phone number (電話)
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Your answer
Home address 地址 (Address, City, Zip Code) (城市,郵政號碼)
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Your answer
Age of family member receiving RC services (有特殊需要家庭成員的年齡)
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Your answer
Diagnosis of family member receiving RC services (有特殊需要家庭成員的診斷)
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Your answer
Regional Center belong to (您的區域中心)
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Your answer
Language spoken (語言 )
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English(英語)
Cantonese(廣東話)
Mandarin (普通話)
Other(其他)
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