* 1. Pre-Conference Registration

2. How did you hear about the Parent and Family Engagement Conference?

3. Will your child(ren) attend with you?

4. How many children will attend with you?

5. What is your child(ren)'s current grade level(s)? (check all that apply):

6. Is your child(ren) currently attending a 21st Century Community Learning Centers program?

7. If yes, which 21st Century Community Learning Centers program does your child(ren) attend?

8. I am interested in (check all that apply):

9. Please check any of the services below that you would like to receive: