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Strengthening Families Sign Up
1.
Parent/Caregiver name(s)
2.
Name and age of Child to be in Strengthening Families
Child Name/Age
Child Name/Age
3.
What is your phone number and email address?
Phone Number
Email
4.
Do your or your child have any food allergies or dietary restrictions? If yes please specify the allergy/restriction.
No
Yes
5.
What school district does your child go to?
6.
Do you need child care for younger siblings? If yes for how many children?
No
Yes
Current Progress,
0 of 6 answered