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Thank you for your interest in Play with Purpose.
Please register to make sure we have plenty of dinner  and materials for you and your child (ren). 

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* 1. Name

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* 2. Phone Number

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* 3. E-mail

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* 4. I plan to attend the following sessions: 
4th Tuesday of every month, from 5:30-7:00 pm

Not sure which sessions you will attend? That's ok! 
You can always register for more later. 

This is a parent participation & engagement group, for parents of children ages 0-5.
You do not have to bring your child with you, but it is highly encouraged.

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* 5. How many children, ages 0-5, will be coming with you? 

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* 6. Please list their ages:

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* 7. How did you hear about this program?

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