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* 1. To help us avoid duplication of responses, please list your full first name and initial of your last name. (Ex: name is Mary Smith. List: MaryS)

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* 2. Do you live in Wayne County, NC and have a child or children age birth to five years old?

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* 3. Do you read to your child or children age birth to 5 years old every day?

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* 4. Do you read to your child or children age birth to five years old at least 4-6 days a week?

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* 6. If you are a current participant in the Dolly Parton Imagination Library, please share something with us regarding the books you receive through the program.

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* 7. Please select any programs at the Partnership for Children that you are interested in receiving more information. (You may select multiple programs)

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* 8. If you selected any programs above, please list your contact information (email, phone) so that we can reach out to you with more information.

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