Community Candid is a lecture series dedicated to providing parents and guardians with the knowledge needed to support modern parenting. 

Question Title

* 1. Name:

Question Title

* 2. Age:

Question Title

* 3. Email: 

Question Title

* 4. Phone Number: 

Question Title

* 5. How did you hear about Community Candid? Please select all that apply. 

Question Title

* 6. What session do you plan to attend. Please select all that apply. 

Question Title

* 7. Will you be needing childcare?

Question Title

* 8. If their is an emergency with your child/children who should we contact?

Question Title

* 9. In the future what other topics would you like to see covered in the lecture series?

Question Title

* 10. Would you like to receive information regarding programs LBW has to offer in the future? 

T