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50% of survey complete.
***Please bring boxed/canned food items to be donated to our local Food Pantry!!***
Receive a door prize ticket for donated items!

Please provide the following information for EACH ADULT in your group so that everyone will be pre-registered for Family Fair 2016.

THE INFORMATION BELOW IS FOR ADULT #1. All information is confidential.

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* 1. ***Please bring boxed/canned food items to be donated to our local Food Pantry!!***
Receive a door prize ticket for donated items!

Please provide the following information for EACH ADULT in your group so that everyone will be pre-registered for Family Fair 2016.

THE INFORMATION BELOW IS FOR ADULT #1. All information is confidential.

Is Adult #1

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* 2. Is Adult #1

Does Adult #1 need special accommodations? (We must have 2 weeks notice for an interpreter)

If YES, Check which accommodations are needed.

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* 3. Does Adult #1 need special accommodations? (We must have 2 weeks notice for an interpreter)

If YES, Check which accommodations are needed.

Register ADULT #2 for Family Fair 2016.

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* 4. Register ADULT #2 for Family Fair 2016.

Is Adult #2

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* 5. Is Adult #2

Does Adult #2 need special accommodations? (We must have 2 weeks notice for an interpreter)

If YES, Check which accommodations are needed.

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* 6. Does Adult #2 need special accommodations? (We must have 2 weeks notice for an interpreter)

If YES, Check which accommodations are needed.

Family Fair will provide child supervision (with a separate fun-filled schedule), so that adults can attend sessions and visit the vendors without worry.
Do you need child supervision?

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* 7. Family Fair will provide child supervision (with a separate fun-filled schedule), so that adults can attend sessions and visit the vendors without worry.
Do you need child supervision?

If YES - Child #1

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* 8. If YES - Child #1

Child #1 - Age Group ----------Child #1 - Accommodations

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* 9. Child #1 - Age Group ----------Child #1 - Accommodations

Child #2

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* 10. Child #2

Child #2 - Age Group ----------Child #2 - Accommodations

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* 11. Child #2 - Age Group ----------Child #2 - Accommodations

Child #3

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* 12. Child #3

Child #3 - Age Group ----------Child #3 - Accommodations

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* 13. Child #3 - Age Group ----------Child #3 - Accommodations

BY REGISTERING AND PARTICIPATING IN FAMILY FAIR, YOU ARE AGREEING TO BE PHOTOGRAPHED AND/OR VIDEOTAPED FOR PUBLICITY PURPOSES AND RELEASE CAROLINE COUNTY PUBLIC SCHOOLS, ITS OFFICERS, EMPLOYEES AND AGENTS FROM ANY LIABILITY RESULTING FROM OR CONNECTED WITH THE PUBLICATION OF THIS INFORMATION.

OPT OUT FORMS WILL BE AVAILABLE AT THE REGISTRATION DESK ALSO.
IF YOU WOULD LIKE TO OPT OUT NOW, PLEASE COMPLETE BELOW:

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* 14. BY REGISTERING AND PARTICIPATING IN FAMILY FAIR, YOU ARE AGREEING TO BE PHOTOGRAPHED AND/OR VIDEOTAPED FOR PUBLICITY PURPOSES AND RELEASE CAROLINE COUNTY PUBLIC SCHOOLS, ITS OFFICERS, EMPLOYEES AND AGENTS FROM ANY LIABILITY RESULTING FROM OR CONNECTED WITH THE PUBLICATION OF THIS INFORMATION.

OPT OUT FORMS WILL BE AVAILABLE AT THE REGISTRATION DESK ALSO.
IF YOU WOULD LIKE TO OPT OUT NOW, PLEASE COMPLETE BELOW:

Can you assist us by volunteering at Family Fair while you are there? If YES - Please sign in at the registration desk the day of the event.

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* 15. Can you assist us by volunteering at Family Fair while you are there? If YES - Please sign in at the registration desk the day of the event.

PLEASE REGISTER CLASSES FOR EACH ADULT!

Please select three (3) sessions for Adult #1 to attend. Classes will be filled on a first come, first serve basis. Classes not meeting minimum registration may be cancelled. If cancelled, the presenter will be available as a vendor to provide information.

PLEASE NOTE THE SESSION TIME FOR EACH TOPIC AND PLAN ACCORDINGLY.
For more information and to view the Family Fair poster with descriptions of each session, view the PRC blogsite: http://prc.blogs.ccps.us/
TARGET AUDIENCE - CODES: A – ANYONE, D – DAYCARE PROVIDERS, E – EDUCATORS, F - FAMILIES

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* 16. PLEASE REGISTER CLASSES FOR EACH ADULT!

Please select three (3) sessions for Adult #1 to attend. Classes will be filled on a first come, first serve basis. Classes not meeting minimum registration may be cancelled. If cancelled, the presenter will be available as a vendor to provide information.

PLEASE NOTE THE SESSION TIME FOR EACH TOPIC AND PLAN ACCORDINGLY.
For more information and to view the Family Fair poster with descriptions of each session, view the PRC blogsite: http://prc.blogs.ccps.us/
TARGET AUDIENCE - CODES: A – ANYONE, D – DAYCARE PROVIDERS, E – EDUCATORS, F - FAMILIES

PLEASE REGISTER CLASSES FOR EACH ADULT!

Please select three (3) sessions for Adult #2 to attend. Classes will be filled on a first come, first serve basis. Classes not meeting minimum registration may be cancelled. If cancelled, the presenter will be available as a vendor to provide information.

PLEASE NOTE THE SESSION TIME FOR EACH TOPIC AND PLAN ACCORDINGLY.
For more information and to view the Family Fair poster with descriptions of each session, view the PRC blogsite: http://prc.blogs.ccps.us/
TARGET AUDIENCE - CODES: A – ANYONE, D – DAYCARE PROVIDERS, E – EDUCATORS, F - FAMILIES

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* 17. PLEASE REGISTER CLASSES FOR EACH ADULT!

Please select three (3) sessions for Adult #2 to attend. Classes will be filled on a first come, first serve basis. Classes not meeting minimum registration may be cancelled. If cancelled, the presenter will be available as a vendor to provide information.

PLEASE NOTE THE SESSION TIME FOR EACH TOPIC AND PLAN ACCORDINGLY.
For more information and to view the Family Fair poster with descriptions of each session, view the PRC blogsite: http://prc.blogs.ccps.us/
TARGET AUDIENCE - CODES: A – ANYONE, D – DAYCARE PROVIDERS, E – EDUCATORS, F - FAMILIES

In order for us to continue sponsoring Family Fair, we may be applying for additional funding. Please check all that applies to your family.

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* 18. In order for us to continue sponsoring Family Fair, we may be applying for additional funding. Please check all that applies to your family.

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