ConectandoUs Registration for Services
ConectandoUs provides the Hispanic community a foundation of connection that fosters an inclusive network of resources. 

We created ConectandoUs to support and unite our community. Hispanic individuals and families deserve connection to their community, opportunities to grow, and so much more. Here at ConectandoUs, we offer programs that support the success of all Hispanic individuals and families.

Visit us at 63 E Main St, Suite 202, Westminster, MD 21157 

If you have any questions, please feel free to contact us at 
conectandousmd@gmail.com
443-605-7491

For more information visit conectandous.org 
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Email *
Full Name of Participant *
Participant's Date of Birth *
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Participant's Country of Origin
Participant's Email
Participant's Phone Number
Participant's Address *
If the participant is a minor, please enter their parent/guardian's full name
If the participant is a minor, please enter their parent/guardian's date of birth
If the participant is a minor, please enter their parent/guardian's country of origin
If the participant is a minor, please enter their parent/guardian's phone number
If the participant is a minor, please enter their parent/guardian's email
If the participant is a minor, please enter their parent/guardian's address
Name of person completing this form and connection/relationship to participant *
What program(s) is the participant interested in registering for? *
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