Life Skills Program Inquiry
HETRA is offering a Life Skills Program to run on Mondays Tuesdays, Wednesdays & Thursdays.
Please give us a bit more information about yourself, availability and your interests.
Participant Information
First Name
MI
Last Name
Address Line 1
Address Line 2
City
State
Please select...
Alabama
Alaska
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Arkansas
California
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Connecticut
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District Of Columbia
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Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Birthdate
Caregiver Contact Information
Name
Relationship to participant
Daytime Phone
Evening Phone
Email
I am a current HETRA participant.
Yes
No
Please let us know which day of the week will work best for you.
Monday 9:30 am to 12:00 pm
Tuesday 9:30 am to 12:00 pm
Wednesday 9:30 am to 12:00 pm
Thursday 9:30 am to 12:00 pm
Please contact us at (402) 359-8830 with any questions.
Contact Information