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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Phone Number

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* 5. Do you give permission for us to call you to remind you of upcoming workshops and appointments?

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* 6. Postal Code

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* 7. Email Consent

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* 8. There will be a total of 4 weekly sessions on Thursdays. We offer our sessions in the morning and evening. When are you available to attend the sessions? 

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* 9. Which South Asian Language do you speak?

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* 10. We are able to provide translations in some of the South Asian languages, if needed. Will you be needing translations during the session?

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