Family Group Open Enrollment 2019
Please sign up by September 8th, 2019.
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First Preference of Family Group *
We will try our best to accommodate your choice!
Second Preference of Family Group
Full Name *
Spouse's Name
Indicate name of spouse if signing up for Family & Children's Group
Email *
Spouse's Email
Indicate email of spouse if signing up for Family & Children's Group
Phone Number *
(Just numbers, no dashes or parentheses please)
Address
(To help with location)
Number of Children
(To help with family group size)
Could you consider hosting family group from time to time on a rotational basis?
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Any Comments, Questions, or Concerns?
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