If you can’t attend the course in Independence, please fill out the form below so we know you are interested and for which location. Thanks! Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *What is your relationship to the special needs community? *Special Needs Parent / Family Member/GuardianPotential Paraprofessional / Shadow / AideNanny / CaregiverTeacherOther Professional In the FieldBoth Special Needs Parent and EducatorStudentIf you are a teacher, which school do you teach at?Why are you interested in taking this course? *Preferred location to take this course *Belize CityBelmopanCayoOrange WalkCorozalDangrigaPunta GordaSan PedroCaye CaulkerIf you have another location preference that wasn't listed above, please enter that below.NameSubmit Facebook Twitter PinterestFollow