Helping Families Tell Their Stories Question Title * 1. Please complete the following registration information Name: Organization: Address: City/Town: ZIP: Email Address: Phone Number: Question Title * 2. Please Identify Collaborative Learning Opportunity You Are Registering For June 10, 2019 2345 Meridian Street Sault Ste Marie 6:00 pm – 7:30pm Question Title * 3. How will you participate Onsite Via Zoom Question Title * 4. Please identify your affiliation Family member of a young child Family member of a teen or young adult Service provider works with young children Service provider works with teens or young adults Family member and service provider Individual with a disability Neighbor Religious Leader Community Member Question Title * 5. If you are a family member what is your relationship to the child, teen, young adult or individual with a special need and/or disability Parent (adoptive, biological, foster and step-parents) Grandparent Sibling Aunt/Uncle Niece/Nephew Cousin Question Title * 6. Do you need accommodations? Yes No Question Title * 7. If yes, what accommodations are needed? Mobility Visual Hearing Other Other (please specify) Next