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Kids & ADHD Parent Night- April 13th
Please complete this form to reserve your spot for the April 13th ADHD Parent Night. If you have questions, concerns, or need to cancel your registration please email Annie Harbert at aharbert@mla.k12.or.us.
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Your Name:
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Your answer
Your contact information (phone number and email):
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Your answer
How many adults are attending?
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Your answer
Do you need childcare? *Children need to be potty trained
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Yes
No
If you need childcare, how many children and what ages? (If none, please put 0)
Your answer
Any dietary restrictions for anyone attending? Please list restriction and if for adult or child. (Pizza is the provided dinner)
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Your answer
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