Workshop Registration

How to Organize your Child's Records

May 15th
6:30pm - 8:00pm
Our Saviour Lutheran Church

Household / Adult Primary Contact

* Will you be attending this Workshop?

Yes

If yes, How many adults will be attending

* Relationship to an Exceptional Child:

Mother

Father

Guardian

Other

* First Name

* Last Name

* Contact Number

* Email Address

* County of Residence

Child Care Information

Will you need Child Care?

If yes, How many?

Please list the ages of your children

* Indicates Response Required