Parent Pathways Program Registration

Parent Pathways Program Registration

Join us for a supportive and uplifting four-session workshop that helps parents understand the IEP process, communicate with school teams, and advocate confidently for their child!
Event Info:

Date: Wednesdays, July 8th, 15th, 22nd, and 29th

Time: 5:30pm - 6:30pm

Location: SWAG Family Resource Center (807 SW 64th Terrace)

For question about registration, please contact SWAG FRC staff at (352) 505-6823. For specific information about this program, please contact Info@AdvocacyTable.com
Name

First Name Last Name
Demographics of Person
Race/Ethnicity
Gender
Birth Date

Month Day Year
Address

Street Address

Street Address Line 2

Zip Code
Phone Number 1
cell phoneFormat: (000) 000-0000.
Email
example@example.com
Are you a caregiver of a child under the age of 18?
Are you a veteran or have ever served in the US Military?
The Parent Pathways Program is a grant funded initiative. Income information is required to determine program eligibility. Please select one or more of the following for proof of eligibility:
This program will provide a supervised child activity for a limited number of minor children. (Children must be potty-trained and age 5 and up). Will you need a supervised child-activity during this program?
Would you benefit from having a Spanish Interpreter during this program?
If yes, please list your participating children's names and ages below. Please note, there are limited spaces available:
What do you hope to gain from participating in this program?
Registration Completed By
Media Release - Please thoroughly read and acknowledge the following: I grant permission for use of my name, image/photo, recorded voice, and attributed quotes and/or that of my child(ren) listed on this registration to the Partnership for Strong Families (PSF) with the full understanding that these images/photos may be used in print, video, web, and other media. I further release and discharge PSF and all its employees, officers, directors, and agents from any and all liability associated with the use and transfer of the aforementioned information therein associated.
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