Support for Families
Information & Resource Conference
at John O'Connell High School

Saturday, March 11th
8:30am - 3:30pm


Please do not submit this form more than once.  If you need to make changes or add additional registrations, please call us at 415-920-5040. Thank you for your patience as we continue to develop our online registration system.

Each attendee must register with their own email address.  If you or someone you are registering does not have their own email address, please call us to register at 415-920-5040.


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Attendee Type*
Gender*
Primary Language*
Interpretation Needs*
Special Accomodations?*
If yes, please describe:
How did you hear about the IRC?*
Food Preference*

*NOTE: This is for our food planning purposes only. Lunch includes pre-made deli sandwiches, chips, a drink and a cookie. While there will be a range of vegetarian and non-vegetarian options, all of the sandwiches may contain nuts/seeds. We cannot accommodate individual food preferences OR medical dietary restrictions, so please bring your own lunch if you cannot eat the food provided.


Morning Workshop
Afternoon Workshop

Please tell us about your child.
(This is optional; however, it helps our funders better understand the work we do.)

Child's Date of Birth
Child's Disability/Special Healthcare Need
Child's Gender

Please note that child care registration and our child care waitlist are now full.  We apologize we are not able to provide child care to everyone and thank you for your understanding.