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* 1. What is your name?

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* 2. What are your pronouns?

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* 3. How can we get in touch with you?

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* 4. When, in general, would you be able to attend a meeting, if childcare were provided?

  Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Mornings (9-12)
Early Afternoons (12-3)
Late afternoons (3-6)
Evenings (6-9)

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* 5. When, in general, would you be able to attend a meeting, if childcare were NOT provided?

  Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Mornings (9-12)
Early Afternoons (12-3)
Late afternoons (3-6)
Evenings (6-9)

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* 6. Would you be interested in helping plan mom group events? If so, please enter your preferred method of contact here.

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