Join Coffee and Conversations on the second Tuesday of each month at 1pm and the fourth Tuesday of each month at 7pm if you have children ages birth to Kindergarten.

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* 1. Please provide your contact information.

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* 2. What county do you live in?

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* 3. What is your race?

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* 4. What is your ethnicity?

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* 5. Please provide your child's date of birth.

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* 6. What is your child's race?

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* 7. What is your child's ethnicity?

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* 8. What is your child's diagnosis? Please check all that apply.

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