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11-5-19 Building a Resilient Brain
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First Name
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Last Name
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E-mail Address
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Number of adults attending?
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What grade is your child, or children in?
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Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
Other:
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Please share with us what you are most interested in learning this evening:
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Will you need free child care during the workshop?
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Yes
No
If you need child care, how many children, and how old are each of the children?
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If attending, do any of your children have food allergies? If yes, please list
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Do you have any other workshops topics that you would like to see presented?
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