Event(s) Registration
Parent/Guardian Full Name:
First Name
Last Name
Email
example@example.com
Phone Number
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Number of adults attending (not including yourself)
Number of children attending
Child #1
Full Name
Age/Grade
Child #2
Full Name
Age/Grade
Child #3
Full Name
Age/Grade
Child #4
Full Name
Age/Grade
Select the Event(s) you would like to attend (Check all that apply):
Webinar 1: (When Traditional School Doesn't Work: A Better Way for Black & Brown Neurodivergent Learners) - Monday, August 25th 6:30-7:30pm
Webinar 2: (Helping Your Child Focus Without Fights: ADHD attention strategies for home & school.) - Wednesday, September 10th 6:30-7:30pm
Webinar 3: (Culturally Affirming Education: Why It Matters for Black & Brown Neurodivergent Kids: link to the NCA approach to Culturally responsive teaching.) - Wednesday, September 24th 6:30-7:30pm
Webinar 4: (From Meltdowns to Breakthroughs: Emotional Regulation for Kids with ADHD & Autism: tools parents can use) - Wednesday, October 8th 6:30-7:30pm
Webinar 5: (How to Advocate for Your Child in IEP & 504 Meetings: empower parents with scripts & strategies) - Wednesday, October 22nd 6:30-7:30pm
Open House/Family Support Circle (Wednesday, August 27th 5:30 - 7:30pm) @The NCA
Community Cookout – Celebrate Our Opening! (Saturday, September 6th 3:30-5:30pm) @The NCA
Programs of Interest (check all that apply):
K-5 In-Person Program
Online/Virtual Program
Tutoring Services
Camps
Scholarships/Financial
How Did You hear About Us?
Social Media
Friend/Family Referral
Community Event
Flyer/Poster
Other
Questions or Special Accommodations?
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