Inside Out Movie Night with SCPHN & YMCA

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* 1. Please provide your full name and email address below so we can share any directions or potential changes about the event with you.

Name

Email Address

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* 2. How many adults and children will be coming to the event?

# of Adults

# of Children

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* 3. What community do you live in?

Barrington

Dover

Durham

Farmington

Lee

Madbury

Middleton

Milton

New Durham

Rochester

Rollinsford

Somersworth

Strafford

I live in another community outside of Strafford County

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* 4. We want everyone to be able to participate in this event. For questions about accessibility or to request an accommodation, please include that information below. We will do our best to answer questions and meet all requests, and ask that requests are made at least 10 days before the event.

You may also reach out to Cory at ctownekerr@goodwinch.org if needed.