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* 1. What is your email address?

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* 2. What is the age(s) of your child who would attend the workshops?

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* 3. When can your child attend the training (Friday-Sunday afternoons 4.5 hours each day).  Please select all that apply.

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* 4. If you would like to attend a free parent workshop, which topics would you like to cover?

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* 5. Anything else you'd like to add?

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