2025 Back to School Series: Register Now

2025 Back to School Series

Registration Form
August 5 | Back to School IEP Basics

August 12 | Smooth Transitions for Back to School Success

August 19 | Q & A with ODE

All sessions are online at 6:00-7:15 pm.
We’re excited to have you join us for this event! You can register up to three (3) people—just complete a few simple steps for each attendee.

FACT Oregon is often asked to share general information about who participates in our programs. Your answers help us understand whether we’re reaching families and communities across our state and help us show funders the importance and impact of our work.
- Sharing is optional: You’ll see a “Prefer Not to Answer” option for most questions.
- Your privacy matters: We only share summary data, never personal details.
Need help with registration?

📞 Call us at (503) 786-6082 or (541) 695-5416
📧 Or email program@factoregon.org

Registrant/Attendee #1
Attendee #1 Name

First NameLast Name
Attendee #1 E-mail
example@example.com
Attendee #1 Phone Number
Attendee #1 Phone Type
Attendee #1 Street Address
Attendee #1 City
Attendee #1 State
Attendee #1 Zip Code
Attendee #1 County
Attendee #1 Main Role Related to Disability*
Attendee #1 Primary Language
Request Interpretation Support [Attendee #1]*
FACT Oregon will do our best to accommodate interpretation requests. In some cases we may not be able to do so.
Attendee #1 Ethnic and/or Racial Identity
Do You Have a Disability [Attendee #1]
Attendee #1: Do you or your family get support like Free or Reduced Lunch, SNAP (food benefits), WIC, TANF, housing help, or county mental health services?
Attendee #1: Does anyone in your family use Oregon Health Plan (including DD Services/CHIP)?
Attendee #1 Child Information
Child #1 with a disability

Please provide some information about your child with a disability.
1st Child's Name
1st Child's Birthdate

MonthDayYear
1st Child's Main Disability Diagnosis
1st Child's Primary Special Education Eligibility
1st Child's School District:
Do you have another child with a disability?*
Child #2 with a disability

Please provide some information about your child with a disability.
2nd Child's Name
2nd Child's Birthdate

MonthDayYear
2nd Child's Main Disability Diagnosis
2nd Child's Primary Special Education Eligibility
2nd Child's School District:
Do you have another child with a disability?*
Child #3 with a disability

Please provide some information about your child with a disability.
3rd Child's Name
3rd Child's Birthdate

MonthDayYear
3rd Child's Main Disability Diagnosis
3rd Child's Primary Special Education Eligibility
3rd Child's School District:
Employment Info - Attendee #1
Attendee #1's Employer
Attendee #1's Title/Role
Do you want to register another attendee?*

Attendee #2
Attendee #2 Name

First NameLast Name
Attendee #2 E-mail
example@example.com
Attendee #2 Phone Number
Attendee #2 Phone Type
Is this attendee's address the same as the registrants?
Attendee #2 Street Address
Attendee #2 City
Attendee #2 State
Attendee #2 Zip Code
Attendee #2 County
Attendee #2 - Main Role Related to Disability*
Attendee #2 Primary Language
Request Interpretation Support [Attendee #2]*
FACT Oregon will do our best to accommodate interpretation requests. In some cases we may not be able to do so.
Attendee #2 Ethnic and/or Racial Identity
Do You Have a Disability [Attendee #2]
Attendee #2: Do you or your family get support like Free or Reduced Lunch, SNAP (food benefits), WIC, TANF, housing help, or county mental health services?
Attendee #2: Does anyone in your family use Oregon Health Plan (including DD Services/CHIP)?
Attendee #2 Child Information
Child #1 with a disability

Please provide some information about your child with a disability.
1st Child's Name
1st Child's Birthdate

MonthDayYear
1st Child's Main Disability Diagnosis
1st Child's Primary Special Education Eligibility
1st Child's School District:
Do you have another child with a disability?*
Child #2 with a disability

Please provide some information about your child with a disability.
2nd Child's Name
2nd Child's Birthdate

MonthDayYear
2nd Child's Main Disability Diagnosis
2nd Child's Primary Special Education Eligibility
2nd Child's School District:
Do you have another child with a disability?*
Child #3 with a disability

Please provide some information about your child with a disability.
3rd Child's Name
3rd Child's Birthdate

MonthDayYear
3rd Child's Main Disability Diagnosis
3rd Child's Primary Special Education Eligibility
3rd Child's School District:
Employment Info - Attendee #2
Attendee #2's Employer
Attendee #2's Title/Role
Do you want to register another attendee?*

Attendee #3
Attendee #3 Name

First NameLast Name
Attendee #3 E-mail
example@example.com
Attendee #3 Phone Number
Attendee #3 Phone Type
Is this attendee's address the same as the registrants?
Attendee #3 Street Address
Attendee #3 City
Attendee #3 State
Attendee #3 Zip Code
Attendee #3 County
Attendee #3 Main Role Related to Disability*
Attendee #3 Primary Language
Request Interpretation Support [Attendee #3]*
FACT Oregon will do our best to accommodate interpretation requests. In some cases we may not be able to do so.
Attendee #3 Ethnic and/or Racial Identity
Do You Have a Disability [Attendee #3]
Attendee #3: Do you or your family get support like Free or Reduced Lunch, SNAP (food benefits), WIC, TANF, housing help, or county mental health services?
Attendee #3: Does anyone in your family use Oregon Health Plan (including DD Services/CHIP)?
Attendee #3 Child Information
Child #1 with a disability

Please provide some information about your child with a disability.
1st Child's Name
1st Child's Birthdate

MonthDayYear
1st Child's Main Disability Diagnosis
1st Child's Primary Special Education Eligibility
1st Child's School District:
Do you have another child with a disability?*
Child #2 with a disability

Please provide some information about your child with a disability.
2nd Child's Name
2nd Child's Birthdate

MonthDayYear
2nd Child's Main Disability Diagnosis
2nd Child's Primary Special Education Eligibility
2nd Child's School District
Do you have another child with a disability?*
Child #3 with a disability

Please provide some information about your child with a disability.
3rd Child's Name
3rd Child's Birthdate

MonthDayYear
3rd Child's Main Disability Diagnosis
3rd Child's Primary Special Education Eligibility
3rd Child's School District
Employment Info - Attendee #3
Attendee #3's Employer
Attendee #3's Title/Role

2025 Back to School Series

Registrant/Attendee #1

Attendee #1 Child Information

Child #1 with a disability

Child #2 with a disability

Child #3 with a disability

Employment Info - Attendee #1

Attendee #2

Attendee #2 Child Information

Child #1 with a disability

Child #2 with a disability

Child #3 with a disability

Employment Info - Attendee #2

Attendee #3

Attendee #3 Child Information

Child #1 with a disability

Child #2 with a disability

Child #3 with a disability

Employment Info - Attendee #3

Complete Registration

Credit Card