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* Indicates required question
First Name(s)
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Your answer
Last Name
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Your answer
Mobile Phone Number
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Your answer
Email Address
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Your answer
Desired Study Day
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
No Preference
Desired Study Time
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Mornings
Lunch
Afternoon
Evening
General Location desired
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Central Fort Worth
North Fort Worth
South Fort Worth
West Fort Worth
East Fort Worth (Meadowbrook/White Lake Hills/Woodhaven)
Benbrook
North Arlington
South Arlington
Burleson
Saginaw/Lake Worth
Keller
North Richland Hills
Hurst/Bedford/Euless
Eastern Parker County (Hudson Oaks/Willow Park/Aledo)
Western Parker County (Weatherford/Brock)
Azle/Eagle Mountain Lake
Desired Group Demographic/Affinity (check all that fit your preference)
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Couples
Men
Women
Young Families
Empty Nesters
Singles
Young Adults
Mixed
Other:
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Would you like a group that your child can attend with you?
Yes- Any age
No
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