Registration Form

To help us better prepare for the Home Visiting Parent Panel event, please provide the information below. Thank you!

Name

Question Title

* 1. Name

Organization

Question Title

* 2. Organization

Email

Question Title

* 3. Email

Do you feel like you understand the Ingham LLG's purpose and goals?

Question Title

* 4. Do you feel like you understand the Ingham LLG's purpose and goals?

In your own words, please describe the purpose and goals of the Ingham LLG.

Question Title

* 5. In your own words, please describe the purpose and goals of the Ingham LLG.

Do you feel like you have a good understanding of what the Ingham LLG is trying to accomplish?

Question Title

* 6. Do you feel like you have a good understanding of what the Ingham LLG is trying to accomplish?

In your own words, please describe what the Ingham LLG is trying to accomplish.

Question Title

* 7. In your own words, please describe what the Ingham LLG is trying to accomplish.

Do you have any specific questions you would like to ask the parent panel?

Question Title

* 8. Do you have any specific questions you would like to ask the parent panel?

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