Thank you for your interest in LENA Start! By providing your contact information below, we can provide more details about the Anchorage LENA Start program and answer any questions you may have!

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* 1. Child's Name

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* 2. Child's Date of Birth

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* 3. Primary Caregiver

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* 4. Can primary caregiver receive texts at this number?

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* 5. Secondary Caregiver

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* 6. Can secondary caregiver receive texts at this number?

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* 7. What time of day works best for you to attend a session?

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* 8. What day of the week works best for you to attend a session?

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* 9. Do you have access to the Internet and an Internet-capable device at home?

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