Seminar Registration form

Parents Seminar: “The ABC’s of Special Education”

An introduction to the process of Special Education for parents of special needs students.

September 6, 2013  7:00-9:00 p.m.

93A Spring Street Newton, NJ 07860

Thank you for registering! For questions, please call (973) 534-3402

or email: specialneedsnj@hotmail.com

*First Name: *Last Name:
*(spouse) First Name: *Last Name:
*(guest) First Name: *Last Name:
 

 

*Address: house/apt. number and Street.

 

Town                       State               zip

*Email 1: Email 2:

 

*Home Phone:   (        ) Cell Phone:   (         )
   
  • Required information

Seminar Fee: $8.00 per person (first 25 registrants)

 

Number attending:____________             Paid_$____._______        Check #______________

Make checks payable to: Special Needs NJ

 

Please mail registration for to:   Special Needs NJ, LLP

              820 Limecrest Rd.

              Newton, NJ 07860

 

DEADLINE for mail in registration is August 30, 2013

 

 

 

 

Walk-in registration will be available ONLY after minimum registration is met, $12.00 at door.

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