ADULT INFORMATION

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* 1. WHAT IS THE TOTAL NUMBER OF PEOPLE IN YOUR GROUP ATTENDING TODAY'S EVENT?(CHILDREN AND ADULTS)

* 2. PLEASE PROVIDE THE NAME ,DATE OF BIRTH AND EMAIL ADDRESS FOR ALL ADULTS IN ATTENDANCE.

* 3. WHAT IS THE TOTAL NUMBER OF PEOPLE LIVING IN YOUR HOUSEHOLD?

* 4. HOUSEHOLD INCOME?

* 5. WHAT IS THE GENDER OF THE HEAD OF HOUSEHOLD?

* 6. ETHNICITY OF HEAD OF HOUSEHOLD

* 7. IS THE HEAD OF HOUSEHOLD AGE 62 OR OLDER?

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