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* 1. How many adults will be attending?

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* 2. Will you need childcare? Please answer Yes or No. If Yes, how many spaces will you be reserving at the YMCA?

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* 3. What concerns do you have for your child/children regarding digital media?

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* 4. What question(s) would you like to ask Dr. Uhls and Dr. Cross?

To reserve a place for child care from 5:45pm to 7:45 pm on Tuesday, November 13th, please sign up at the YMCA on Via de la Paz and make your reservation as soon as possible as there is limited space available. THANK YOU!

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