Help, My Child is on an IEP!
RequiredRequired Question(s)
December 03,2018
5:30PM- 7:30PM
King Road Branch-Toledo Lucas Country Public Library- 3900 King Rd., Toledo, OH 43617
 
Required 1.
Please enter the information indicated below.


First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Postal Code:

Required 2.

Would you like to be included in our E-Newsletters and E-Blast for upcoming Parent University Events?

*If Yes, please provide E-mail information below.


Yes
No
Other  
Required 3.

Is the phone number you provided a Landline or Cell phone?


*If Cell Phone and you would like a remind text message, please type phone number in "Other Box"!


Landline
Cell Phone
Other  
Required 4.

Name of the school(s) where your child or children attend.


*Please separate with a comma after school name, if there are multiple schools.

 

350 characters left.
Required 5.
Will you need child care? 
*A staff member will be in contact. 

 
Yes
No
6.
If you answered "Yes" above, please list the child's or children's "first name, last name and age" below. 

Example: 

(Jane, Doe and Age)


 

1000 characters left.
Required 7.

 We are providing snacks for you and your family. 


*How many people will you be bringing to the event (including yourself, additional parents/caregivers, student/s and child/ren needing childcare)? 


 

50 characters left.
Required 8.
Do you need bus tokens for transportation to the event?
*A staff member will be in contact. 

If Yes,  we will call you to arrange delivery of the bus passes or tokens.
Yes
No
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