Charles River Center Workshop Series Registration

This registration is for the workshop series hosted by Charles River Center and presented by Karen Lopez, FCSN Early Childhood Information Specialist.

The three workshops in the series will be presented from 6-7pm and the topics and dates are:

Tuesday, March 12, 2024 – Turning Three Essentials
Tuesday, April 23, 2024 – Introduction to School
Tuesday, May 7, 2024 – Social Emotional Learning

If you have any questions about these workshops, please contact Karen at klopez@fcsn.org.

The Federation for Children with Special Needs is funded by grants which require us to collect data. Our registration is confidential and used to ensure we are supporting all communities. We do not share personal information nor do we sell to third parties.

First Name(Required)

Last Name(Required)

Email(Required)

Address

State

City(Required)

Out of State City

Zip/Postal Code(Required)

Organization

Gender Identify

Preferred Phone Number

Cell Phone

Home Phone

Work Phone

Age of child with special needs?(Required)

Primary Language(Required)

Other Language

Chinese Dialect

Are you attending this event as a (check all that apply):(Required)

Parent/Caregiver

Foster Parent

Grandparent

Student (14-22)

Professional Educator

Professional Other

Special Education Decision Maker (SESP)

Other

What is your race?(Required)

What is your ethnicity?(Required)

What is your child's race?(Required)

What is your child's ethnicity?(Required)

What is your child's primary disability?(Required)

What is your child's secondary disability?

What is your total household income?

What is the highest level of education completed?

How many family members are in your household?

Specify race

Specify child's race

Charles River Center Workshop Series Registration

Charles River Center Workshop Series Registration

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