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* 1. WHAT ARE SOME OF THE BEST THINGS ABOUT LIVING IN YOUR NEIGHBOURHOOD?

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* 2. WHAT ARE SOME CURRENT SERVICES OR PROGRAMS THAT YOU AND YOUR FAMILY ARE INVOLVED IN?

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* 3. I WOULD SUPPORT THE FOLLOWING SERVICES WITHIN OUR NEIGHBOURHOOD:

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* 4. I WOULD SUPPORT THE FOLLOWING PROGRAMS (SPORTS/FITNESS/DANCE) WITHIN OUR NEIGHBOURHOOD (PLEASE ALSO SPECIFY WHAT AGE WOULD ATTEND):

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* 5. I WOULD SUPPORT THE FOLLOWING PROGRAMS (MUSIC/ART/OTHER) WITHIN OUR NEIGHBOURHOOD (PLEASE ALSO SPECIFY WHAT AGE WOULD ATTEND):

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* 6. If you would like to connect with one or more community partners to discuss program ideas or to provide feedback about current programs, please provide your contact information beside the community partner(s) listed below. You are able to select more than one community partner.

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