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NRP Registration Form
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* Indicates required question
Student's Regional Program
*
CWNP (Central Western Nebraska Partnership)
MRP (Metro Regional Program)
NERP (Northeast Nebraska Regional Program)
SNRP (Southeast Nebraska Regional Program)
I am not sure
Student's First & Last Name
*
Your answer
Gender
*
Male
Female
Grade
*
Your answer
Preferred Method of Communication
*
Oral
Sign Language
Total Communication
Other:
Accommodations Needed
*
Your answer
Is there anything specific staff should know about your child?
(i.e. extra support para at school, health concerns, behavior supports needed, difficulty with transitions, needs visual schedule)
Your answer
School District
*
Your answer
Deaf Educator's Name
*
Your answer
Do you need to update your child's 2020-2021 Nebraska Regional Program health/permission forms?
*
(i.e. phone numbers, addresses, emergency contact, medicine, etc.)
No (please skip next question)
Yes (please answer next question)
I have not completed the forms for this school year (please answer next question)
If you need to update or complete the 2020-2021 health/permission forms, please check below your preferred method for how you would like to receive the forms.
Send the forms to me via email
Send the forms to me via U.S. Mail
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