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BGC Tustin Fall 2024-2025
Fall 2024-2025 Drop-In/Transportation Program
If you are interested in our Drop-In/Transportation program for Fall 2024-2025 please proceed with the survey. For multiple children, please fill out one survey per child.
1.
Program of interest?
Transportation Program
Drop In Program
*
2.
Please enter your name (Parent name).
(Required.)
*
3.
Parent Phone Number
(Required.)
*
4.
Parent Email
(Required.)
*
5.
Child Full name
(Required.)
*
6.
Child Grade in Fall 2024-2025
(Required.)
*
7.
Child School in Fall 2024-2025
(Required.)
8.
Does the Member Receive Additional Support in School/Community?
IEP (Provide Copy of Most recent IEP)
504 Plan (Provide Copy of Most recent IEP)
9.
Does the Member Use the Following
Inhaler
Epi-Pen
Insulin
Self-Administer Medication
*
10.
Thank you for completing this application. Once we have reviewed your information you will receive a phone call stating that you either have a spot or have been waitlisted. Please remember that all payments are non-refundable and non-transferable. For additional questions and concerns please email info@bgctustin.org or message us on ProCare. Thank you!
(Required.)
I acknowledge the information above.