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Parent Connect Pool - Request to be Added

 

  • This form is to request to be added to our Parent Connect Pool.
  • We value your desire to help other families who have questions or concerns about travelling
  • Please complete the form below if you are interesed in helping us, and being added to our Parent Connect Pool

 

 

 

Parent Connect - Add Form


YOUR CONTACT INFO
(REQ) = Required Fields
Your Name (REQ)
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Email Address(REQ)
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Phone Number(REQ)
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Provide any information you would like us to share with our Potential Guests
DEMOGRAPHICS
Country of Residence (U.S., Canada, Puerto Rico, England, ect)(REQ)
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Child(ren) with Special Needs Birth Date
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Child(ren) with Special Needs Gender
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Child’s Type of Special Need
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Autism, Asperger’s, Down Syndrome, ADHD, MS, ect.

Parent speaks Language other than English, specify:
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Family has Siblings that are typically developing
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Single Parent Family
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Divorced Parent Family
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Same Sex Parent Family
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OTHER
Additional Information you would like to share
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Security Code
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