Family Leadership Conference

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1. Name

Name

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2. Address

Address

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3. Daytime phone

Daytime phone

4. email

email

5. Are you interested in receiving a stipend for attending?

All stipends are currently taken. Please feel free to sign up for the conference and enjoy a day of learning and collaboration.

Are you interested in receiving a stipend for attending? All stipends are currently taken. Please feel free to sign up for the conference and enjoy a day of learning and collaboration.   Yes No Still interested in attending

6. Do you require any special accommodations? Such as dietary or accessibility? If so, what?

Do you require any special accommodations? Such as dietary or accessibility? If so, what?

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7. Morning workshop choice

Morning workshop choice   Working for change: Using the power of a personal story Leading from within Shifting perspectives:Family and disability Self Advocates speak up: part 1

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8. Afternoon workshop

Afternoon workshop   Advocating for your child Becoming comfortable with conflict Understanding your values Self advocates speak up: part 2