The language spoken MOST OFTEN in our home by members of our household is: *
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If Other is checked above, please specify which language.
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The FIRST language my child learned to speak was: *
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If Other is checked above, please specify which language.
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The language MOST OFTEN spoken by my child is: *
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If Other is checked above, please specify which language.
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The language used by my child WHEN SPEAKING WITH ME is: *
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If Other is checked above, please specify which language.
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Parent/Guardian's First and Last Name - By typing my first and last name in this box, I am providing my signature to verify I have answered these questions to the best of my knowledge. *
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