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* 1. Will you be attending the Workshop on April 14th?

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* 2. Will you be attending Breakfast from 8:00 - 8:30 a.m.?

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* 3. Enter your Name, Title and/or Organization?

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* 4. Address, City, State and Zip:

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* 5. Email Address:

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* 6. What is your Position? (i.e., Teacher, Parent, Social Worker)

If you require any accommodation, please contact Marian Moskowitz by email at MarianMoskowitz@gmail.com or by phone at 610-983-4632.
We look forward to seeing you at Franklin Commons, 400 Franklin Avenue, Phoenixville.
Please contact Michelle Shields at 610-942-4461 if your plans change and you are unable to make the Workshop.

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