Great Start Parent Coalition Family Networking Nights

You are registering for a Great Start Parent Coalition Family Networking Night in CENTRAL LAKE!  This event takes place at the Central Lake High School on Wednesday, January 15, 2020.  Dinner & Networking begin at 5:30 P.M.  The presentation starts at 6:00 P.M. and concludes at 7:30 P.M.

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* 1. First Name

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* 2. Last Name

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* 3. YOUR City (example:  Central Lake, Ellsworth etc..)

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* 4. Please provide your e-mail address:

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* 5. Please provide your telephone number:

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* 6. Are you bringing children with you? (for childcare purposes)

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* 7. If Yes, Please list their first names & ages... (you must provide us with a first name and age of each child attending child care area)

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* 8. Please check ALL that apply to you...

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* 9. If you answered YES to being a Child Care Provider, PLEASE LIST THE NAME OF THE PROGRAM.

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* 10. Please tell us where you heard about this event!  Check all that apply.

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