Social Success Made Easy!

1. Registration Information for Social Success Made Easy

Learn strategies and techniques to help your child make and mantain friends. Take home specific "how to" information that can be used inmediately!

Tuesday, December 15, 2009
10:00 a.m - 12:00 p.m

Fairfax County Government Center
12000 Government Center Pkwy, Room 4
Fairfax, VA

1. Contact Information

Contact Information Name (first and last):
Daytime Phone Number:

2. E-mail address (Used for confirmation, updates, and reminder):

E-mail address (Used for confirmation, updates, and reminder):

3. Please indicate the total number of participants
attending this workshop in your group.

Please indicate the total number of participants attending this workshop in your group. 1

4. Accommodations and interpreters are available for workshops. Please let us
know two weeks in advance if you need any of these services or contact
the Parent Resource Center at 703-204-3941.

	Yes	No
Do you or anyone in your group need accommodations to attend this workshop?	Accommodations and interpreters are available for workshops. Please let us know two weeks in advance if you need any of these services or contact the Parent Resource Center at 703-204-3941. Do you or anyone in your group need accommodations to attend this workshop? Yes	No

Please provide a short description of required needs?

1. Registration Information for Social Success Made Easy

1. Contact Information

2. E-mail address (Used for confirmation, updates, and reminder):

3. Please indicate the total number of participantsattending this workshop in your group.

4. Accommodations and interpreters are available for workshops. Please let us know two weeks in advance if you need any of these services or contact the Parent Resource Center at 703-204-3941.

3. Please indicate the total number of participants
attending this workshop in your group.

4. Accommodations and interpreters are available for workshops. Please let us
know two weeks in advance if you need any of these services or contact
the Parent Resource Center at 703-204-3941.