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Carol Gray Registration
Registration
Carol Gray Conference Saturday November 4, 2017
Please fill out the form below:
Please select from the drop down menu:
Parent
Teacher
School Aid
Therapist (OT, PT, SLP, etc.)
Administrator
Other
Organization or School of Employment (if not a parent):
First Name
Last Name
E-mail
Phone
Child Name
Age of Child
Grade
xuxiuj987p16
School
School District
Club 21 Member?
Yes
No
Conference Registration
Member: $175
Non-Member: $200
Will you be asking your Regional Center to vendor this conference?
Yes
No
N/A
If yes, please check box:
By checking this box, I understand that if my Regional Center does not approve my conference registration I will be responsible for paying Club 21 in full for the registration fee.
Regional Center:
Regional Center Coordinator Name:
Regional Center Email and Phone
Credit Card Information
Cardholder Name
Credit Card #
Expiration Date
Security Code
Billing Zip Code
Your total payment will be
per month until you cancel the recurring agreement.
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
Additional Comments or Questions:
Who We Are
Mission
What is Down Syndrome?
Staff
Board of Directors
2022-23 Annual Report
2022 Annual Meeting
Inspiring Videos
Contact Us
Parents New/Expecting
New Parent Info
Prenatal Diagnosis
Grandparents and Relatives
What We Do
Overview & Program Registration
Programs
First Steps
Stepping Up
ECAR
Club F.U.N.
The Crew
Club Connections
Meaningful Life Learning Circles
Transition 101
Partners in Transition
Educational Partnerships
Adult Social Groups
Request More Info - Adult Social Groups
Self Determination Training Registration
2nd Saturday Speaker Series
Sleep workshop
Resource Fair
IHSS Virtual Workshop
IHSS - Español
Down syndrome and Autism Dual Diagnosis Meet Up
Educational Consultation
Tools For the Journey Conference
Speaker info (Spanish)
Jessica Avila - Thriving Into You Registration
Events
Club 21 Holiday Market
Calendar of Events
Together is Better Walk and Celebration
World Down Syndrome Day
IEP Support
2023-2024 IEP Workshops
IEP Registration
Family Support
Sibshops
Sibshops Registration
Mom's Meet Up
D.A.D.S. Group
Bienvenidos
Resources & Advocacy
Down Syndrome Online Clinic
2023 Summer Camps and Activities
Back To School Resources
Ds Fact Sheet
Parent/Teacher Resources
Printable Files
Donate
Sign In
Become A Member
Get Involved
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