Family Disaster Planning for the Disability Community Registration

Family Disaster Planning for the Disability Community
Please use this form to register if you plan to attend Family Disaster Planning for the Disability Community. Your response will help our planning team prepare.

The event takes place Wednesday, Nov. 6, 2024 from 5-7 p.m. at Westhill Elementary, 19515 88th Ave. NE, Bothell.

This event was planned specifically for our Northshore disability community with support from the Northshore Special Education Community PTSA, Northshore Council PTSA, the Northshore Schools Foundation, Seattle Children's, Bothell Fire Department, Northshore Emergency Management Coalition (NEMCO), and the Northshore School District.
Your Name*

First NameLast Name
Your Email*
example@example.com
Number of people attending in your group/family (including you)*
Do you need any accommodations or language interpretation? Responses must be received by the end of day on Wednesday, Oct. 30 to allow staff time to fulfill the request.
Would your family like to utilize on-site childcare during the training?*
Student Name*

First NameLast Name
Student ID*
Student Grade*
Are there any special considerations that we need to take into account when supervising your child?*

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For questions, please contact: Shannon Phanhthavilay, sphanhthavilay@nsd.org
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