Please fill out the form below to register for the Connect: Improv for ASD class on October 15, 2017. Please arrive at the Rodolfo Gonzales library by 2pm and plan to stay or pick-up teen at 3:30. We ask that a guardian be near the library and available by cell phone during the workshop. Email info@allprov.org with any questions.

Student's Name

First Name

Last Name

Age

Guardian/Emergency Contact Name

First Name

Last Name

Guardian Phone #

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Email Address

Behavioral Concerns/other notes

Register - October 15, 2017

Allprov