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P2P Archived Webinar Registration

Thank you for your interest in the archived recording of the P2P Lunch and Learn Webinar/Health Care Reform: Impact on Children with Special Health Care Needs (Part 1 of 2)

To access the webinar, you will need to submit the following information. When finished, click on the box labeled DONE. A window will open with the URL address of the Webinar. Please copy and save the link for future reference.

For more information about Parent to Parent of Georgia visit www.p2pga.org or contact us at 1-800-229-2038.

Question Title

* Please provide your contact information.

Name:

Company:

County:

State:

Email Address:

Phone Number:

Question Title

* Which role(s) best describes you?

Parent

Professional

Other

Other (please specify)

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* If you are a parent, does your child(ren) have a disability?

Yes

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* What ages are your child(ren) with disabilities?

0-2

3-5

6-11

12-14

15-18

19-26

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* Please specify your child(ren)'s disabilities.

Autism

Deaf-blind

Deaf/Hearing Impairment

Significant Developmental Delay

Emotional/Behavior Disorder

Intellectual Disability

Orthopedic Impairment

Other Health Impairment

Specific Learning Disability

Speech/Language Impairmant

Traumatic Brain Injury

Visual Impairment/Blind

ADD/ADHD

No disability under IDEA

Gifted

Suspected disability