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Healing Circle Interest Form April 8/9, 2019
Please complete a separate survey for every attendee, so we have an accurate count of who is interested.
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Email
*
Your email
Last Name
Your answer
First Name
Your answer
School
Your answer
Role
Student
Staff Member
Parent/Guardian
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Which date(s) can you attend?
Monday, April 8, 2019 6:00-8:00pm
Tuesday, April 9, 2019 6:00-8:00pm
Do you need child care services on site in order to attend/
Yes
No
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If you have any questions, please share them here.
Your answer
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