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Thank you for completing our registration.  The information gathered from it will be kept completely confidential.  The results of the data collected will be used solely for the purpose of refining our training to suit specific audiences and will only be shared with approved partners as outlined in the website Terms of Use agreement.

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Repeat password
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First name
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Last name
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Email address
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State
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County
Gender
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Other (Please specify)
Are you Hispanic or Latino?
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Which of the following best describes you?
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Other (Please specify)
I am a...
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Level of Education:
Do you or your child receive Special Education Services?
Are you or your child/youth currently attending school or in an educational program?
If Yes, you or your child?
If no, please describe why?
If yes, please indicate a placement:
Other (Please Describe)