Managing Emotional Mayhem - Conscious Discipline - Parent Series

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* 1. Name:

First Name

Last Name

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* 2. Affiliation:

UW Student (undergrad, grad, professional)

UW Staff/Faculty

Other (please specify)

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* 3. Email address:

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* 4. Age of your child(ren): (just for presenter planning purposes)

Under 1

1-2 years

3-5 years

6-8 years

9-12 years

over 12 years

Other (please specify)

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* 5. Lunch choice

Vegetarian

Non-vegetarian

Other (please specify)