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Willingboro SEPAG Event Registration Form / Formulario de registración al evento Willingboro SEPAG
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Email
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Your email
START Engaging Parents of Students with Disabilites
Attendee Name / Nombre del Participante
*
Your answer
I am attending this event as a (please check all that apply) /Participa en el evento como un: (elegir todo lo que aplique)
*
Parent/Caregiver / Padre/guardián
Educator / Educador
Community Stakeholder / Miembro de la comunidad
Other Professional / Otro Profesional
Other:
Required
County / Condado
Your answer
Name of School District /Distrito escolar
Your answer
What school does your child with a disability and/or IEP attend? ¿A qué escuela asiste su hijo con una discapacidad y/o IEP?
Your answer
Preferred Language / Lenguaje de preferencia
English / inglés
Spanish / español
Other:
Clear selection
E-Mail Address / Correo electrónico
*
Your answer
Phone Number / Número de t
eléfono
Your answer
You can text me at this number / puede enviarme un mensaje de texto a este número
Yes / Sí
No
Clear selection
Mailing Address/ Dirección Postal
Your answer
Please share my contact information with our SEPAG./
Por favor, comparta mi información de contacto con nuestro SEPAG.
*
Yes / Sí
No
Required
I would like to receive (please check all that apply) /Quisiera recibir ( Por favor de checar todo lo que aplican)
Parent Leadership E News (quarterly) / E News Liderasco de Padres (trimestral)
SPAN News you can use email updates(weekly) / Noticias de SPAN y correos electronico (semanales)
Other SPAN Publications / Otras publicaciones de SPAN
Where did you hear about this event? / ¿Cómo se enteró de este evento?
Facebook
It was backpacked home / Lo enviaron de la escuela
Automated call / Llamada robotizada
Email / Correo electrónico
Someone told me / Alguien me informo
Other:
Clear selection
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