Stepping Stones to School Registration
Date:
Parent Name:
Parent's Birth Date:(mm/dd/yyyy)
Mailing Address:
City, state, zip:
Home Phone:
Work Phone:
E-mail:
Name(s) of child(ren):
Birth date: (mm/dd/yyyy)
School District (if known):
By pressing the "Submit" button below, I consent and understand that the information from registration will be made available to Char-Em ISD, local school districts, and Stepping Stones Alliance members for mailings and contacts notifying me of services and activities for my family. The project also includes data collection for population studies and quality control and I or my children will not be identified personally. This consent can be ended by notifying Stepping Stones to School by phone, in person, or in writing.



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