Parent Connections

Main Registration

Join us:

June 24th, July 22nd, August 26th, September 23rd, October 28th, November 25th, December 16th, January 27th, and February 24th.

6:00 - 7:30 PM

Broderick Recreation Center

6101 66th Avenue N, Pinellas Park, FL 33781

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Email (Required.)

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4. Phone Number

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5. Name of Suncoast Center Therapist (If Applicable)

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6. Which option(s) below best describe your race and/or ethnicity? (Required.)

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Native Hawaiian or other Pacific Islander

Two or More Races

White

Prefer Not to Answer

Other (please specify)

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7. What is your zip code?

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8. Are you also registering for this event on behalf of others, such as your child(ren), spouse, roommate, etc.? (Required.)

Yes

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9. Number of Children Attending (Required.)

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10. Age of Child(ren) Attending (Required.)

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11. How Did You Hear About This Event?

In the Community

Suncoast Center Location

Recommended by a Friend or Colleague

Social Media

Other (please specify)

Parent Connections

Main Registration

Question Title

* 1. First Name (Required.)

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* 2. Last Name (Required.)

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* 3. Email (Required.)

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* 4. Phone Number

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* 5. Name of Suncoast Center Therapist (If Applicable)

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* 6. Which option(s) below best describe your race and/or ethnicity? (Required.)

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* 7. What is your zip code?

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* 8. Are you also registering for this event on behalf of others, such as your child(ren), spouse, roommate, etc.? (Required.)

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* 9. Number of Children Attending (Required.)

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* 10. Age of Child(ren) Attending (Required.)

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* 11. How Did You Hear About This Event?

1. First Name (Required.)

2. Last Name (Required.)

3. Email (Required.)

4. Phone Number

5. Name of Suncoast Center Therapist (If Applicable)

6. Which option(s) below best describe your race and/or ethnicity? (Required.)

7. What is your zip code?

8. Are you also registering for this event on behalf of others, such as your child(ren), spouse, roommate, etc.? (Required.)

9. Number of Children Attending (Required.)

10. Age of Child(ren) Attending (Required.)

11. How Did You Hear About This Event?