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* 1. Family Member 1

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* 2. Family Member 2

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* 3. Child 1

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* 4. Child 2

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* 5. Child 3

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* 6. Child 4

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* 7. Child 5

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* 8. Preferred Method of Contact (Check all that apply)

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* 9. Do you receive MJCBY weekly eblasts?

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* 10. Do you have Internet access through a computer or Ipad?

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* 11. Do you receive phone updates from MJCBY?

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* 12. How would you like to receive your monthly newsletter?

0 of 12 answered
 

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