Friday, January 25, 2019 from 5:00 PM to 7:00 PM MST
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Granite School District, D102-04

2500 S. State St
South Salt Lake, UT

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Utah Parent Center Staff
Utah Parent Center

All About Respite for Families with Disabilities

Do you have a family member with disabilities and would like to learn about respite care? The URLEND team can help you with that! Join us for our Respite Workshop and learn about resources and information to get Respite care for your family member.

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Guest Information

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Participant Demographics

  • Please provide the following information as part of the registration. This information is needed to help us better serve you and to document our services for our funders. This information will be kept strictly confidential. Thank you.

  • What is your role?

  • What is your race/ethnicity?

  • What is your primary language?

  • Does your child qualify for:

Child Demographic Information

  • Please include your child's demographic information below, if you have more than one child please list the child you are primarily attending this event for. If you are a professional, please use NA or choose the “I am a professional” option.

  • Child’s Race/Ethnicity

  • Child’s Primary Disability

  • Child’s Insurance

  • Services

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