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Make a Mark Mission Possible 2023 Professionals/Volunteer Registration
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Email
*
Your email
What is your name?
*
Your answer
What is your specialty?
*
Pediatrician
Psychologist
Board Certified Behavior Analyst
Psychiatrist
Speech Therapist
Occupational Therapist
Educator
Counselor
Neurodevelopmental Specialist
Social Worker
Other:
Where would you like to help?
*
April 10 (Clinic Day)
April 11 (Hands on Parent Training and Empowerment)
April 12 (Teacher an Paraprofessionals Training)
April 13 (Religious Leaders and Sunday school teachers training)
April 14 (April 8 Fun day for children and family featuring bounce houses, music and movement, arts and crafts, etc.)
We are planning to have a zoom meeting for everyone interested. What day would you prefer?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any day works for me
Will you attend the Evening of Dreams on April 15?
*
Yes
No
Thank you for your interest in the Make a Mark Mission possible 2023. Please share with other professionals/volunteers who may be interested.
Your answer
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