Parent To Parent Flier

PEER LEADERSHIP INSTITUTE

ADVOCATES FOR JUSTICE AND EDUCATION

INVITES
Parents or family members of a child with special needs To participate in the

“Parent to Parent Leadership Institute” The Institute will be held at 4201 Georgia Avenue. NW. Washington D.C. 20011 (the Lillian Cooley Murrell Building) 202-265-1730 Saturday, May 9th, 2009 and Saturday May 16, 2009. From 9:00 AM – 3:00 PM

Lunch will be provided. FOR MORE INFORMATION CONTACT: AJ Dhali (202) 678-8060 x. 15 Email: [email protected] (the Registration Form is on the back of this page.)

ADVOCATES FOR JUSTICE AND EDUCATION, INC. 2041 Martin Luther King, Jr. Avenue, SE, Suite 400 • Washington, DC 20020 (202) 678-8060 • (202) 265-1432 Español • (202) 678-8062 Fax • (888) 327-8060 – Toll free for parents •Website: www. aje-dc.org • E-mail: [email protected]

Parent to Parent Peer Leadership Institute Saturday May 9 & May 16, 2009 9:00 AM – 3:00 PM 4201 Georgia Avenue. Washington D.C. 20011 (202) 265-1730 Registration Form

Mr. /Mrs. _____ First Name ___________________ Last Name: _________________ Address: __________________________________________________________

Peer Leadership Institute

City: ____________ State: __________ Zip Code: ______ Ward: _______ Telephone: ______________ (day) _____________ (night) ______________ (cellular) More information: Do you need? (Lunch will be provided on both days) □ Special Diet: _________________________________________________ □ Childcare Name: ______________________________ Age of child: _____________ School attending? _____________________ Any disability? __________ Does the child need special services? _________________________________ ________________________________________________________________ ________________________________________________________________ □ Other Accommodations: ________________________________________________________________ ________________________________________________________________ Sign up as soon as possible because space is limited! Please mail, fax or email this form to: AJ Dhali Advocates for Justice and Education 2041 Martin Luther King, JR. Avenue, Suite 400 Washington DC 20020 202-678-8060 phone 202-678-8062 fax. Email: [email protected]