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Student Name: ***GRANT ES *** ***Dismissal from CLC*** Please complete the information below to authorize how your child will be dismissed at the end of the day from the Community Learning Center
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How to fill out my child may walk:

01
Start by gathering all the necessary documents and information. This may include your child's birth certificate, medical records, and any relevant documentation from your child's school or therapy providers.
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Carefully review the application form for the "My Child May Walk" program. Pay attention to any instructions or guidelines provided.
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Begin by filling out the personal details section of the form. This may include your child's full name, date of birth, address, and contact information.
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Provide information about your child's medical condition or disability. This may involve describing their diagnosis, treatment history, and any mobility challenges they face.
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Who needs "My Child May Walk":

01
Parents or legal guardians of children with mobility challenges or disabilities.
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Individuals looking for resources or programs that can help their child improve their mobility and independence.
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