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* 1. EXERCISE CLASSES (PLEASE MARK ALL THAT APPLY)

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* 2. ARTS/CRAFTS (PLEASE MARK ALL THAT APPLY)

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* 3. COMPUTER CLASSES (PLEASE MARK ALL THAT APPLY)

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* 4. CARD GAMES (PLEASE MARK ALL THAT APPLY)

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* 5. MISCELLANOUS ACTIVITIES (PLEASE MARK ALL THAT APPLY)

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* 6. DAYS OF THE WEEK THAT ARE BEST

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* 7. TIME OF DAY THAT IS BEST

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* 8. AGE GROUP

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