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Information & Registration
*
1.
Your contact information:
(Required.)
Name
City/Town
Email Address
Phone Number
*
2.
Time attending:
(Required.)
6PM to 7PM
7PM to 8PM
*
3.
Tell us who's coming:
(Required.)
No. of Adults
1
2
3
4
5
6
No. of children/youth
1
2
3
4
5
6
*
4.
How did you hear about our event? (check all that apply)
(Required.)
Agency or Support Group Newsletter
CTN Facebook
CTN Website
Email from a service provider or agency
Friend
School newsletter
Teacher
Other (please specify)
