ICHS Workshop Registration Form

Explore ICHS services and get expert guidance on navigating the healthcare system. This workshop will be presented in English on Thursday, February 27, 2025. You can attend in person from 5:30 p.m. to 7:30 p.m. at our Bellevue Family Hub at Highland Middle School or attend virtually via Zoom from 6:00 p.m. to 7:30 p.m.

Name(Required)

First Last

Email(Required)

Are you a parent of a Bellevue School District student?(Required)

Yes

Would you like to attend the workshop in person or virtually via Zoom? (If you select Zoom, the link will be sent to the email address provided during registration.)(Required)

In Person

Zoom

Do you need assistance with childcare during the workshop?(Required)

Yes

If you answered yes, please list your children's names and ages below:

We provide snacks and refreshments during the workshop, please list any allergies or restrictions you and/or your child(ren) have below:

Are any other adults attending the workshop with you?(Required)

Yes

Please list their names and any food allergies they have below:

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