Club 21 Learning and Resource Center : What We Do : Talk Tools Conference : Registration : Parent Registration

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Talk Tools Parent Registration

Parent Name *REQUIRED

E-mail *REQUIRED

Phone

Child Name

Child's Birthdate

Grade

School *REQUIRED

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School District

Regional Center *REQUIRED

Club 21 Member? *REQUIRED

Yes
No
Unsure

How did you hear about Club 21?

Parent Talk Tools Registration:

Member Talk Tools Fee $10 + Annual January Member Fee: $45
Non-Member Registration Fee: $75
Talk Tools Registration: $10 (For new parents with child 1-yr and younger)

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