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Spa Day Registration Form

Every year for our annual Spa Day for a Cause, we sponsor a few special needs parents to enjoy the event on us for FREE. We do this as a way of giving back to parents, who give so much of themselves. 

Trusted Parents is accepting registration from the first 5 parents to enjoy Spa Day on US!!! In order to qualify, you must have a child special needs child (NO EXCEPTIONS). If you received a FREE day of pampering from us within the past two years, then you will be disqualified from receiving this gifted opportunity (NO EXCEPTIONS).

We are asking that selected parents plan to arrive at the venue by 9am to enjoy breakfast and massages before the crowd arrives. 

Address: Southeastern Institute (New Location)

             207 Regency Executive Park Drive

             Charlotte, NC 28217

Time:     9 am - 1 pm

Please complete the form below to be considered!

Name*

Email Address*

Telephone Number

How many children do you have?*

What is your child(ren) diagnosis?*

Have you attended any of Trusted Parents events before? If so, please share.*

Do you agree to allow us to take photos of you during this event?

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