ZZZ Parent Workshop Registration

_{How Music Can Help Your Child Deal With Anxiety
Wednesday, September 23
6:30 - 8:00 pm

Triangle Downs Syndrome Network
1012 Oberlin Road, Suite 300
Raleigh, NC

The workshop is free. Pre-Registration is Required. Child care will not be provided.}

Question Title

* 1. Contact Name:

First and Last Name: *

Address

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Question Title

* 2. What do you hope to learn in this workshop?

Question Title

* 3. How did you hear about the workshop?

Friend/Family Referral

Social Media

Magazine/Newspaper

Online Search Engine

Flyer/Mailer

Other (please specify)

Question Title

* 1. Contact Name:

Question Title

* 2. What do you hope to learn in this workshop?

Question Title

* 3. How did you hear about the workshop?

Question Title

* 4. Do you have any other comments, questions, or concerns?