Workshop Registration

First Name:

Last Name:

Mailing Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Number of People Attending:

Are you attending as a:

Title of Workshop

Date of Workshop:

Workshop Location:

338 Main Street, Niantic CT 06357 • (860) 739-3089 V/TDD • Toll Free 1-800-445-2722

Site last updated May 16, 2012. This page last updated March 24, 2011.

Connecticut Parent Advocacy Center, Inc. is funded in part by the U.S. Department of Education, Office of Special Education Programs Grant No. #H328M070034-10. The contents of the website, however, and any documents cited herein do not necessarily reflect the views or polices of the U.S Department of Education.

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