Program sign up (please read the instructions below)

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Program sign up (please read the instructions below)

Fill this out and when done please text me at ‪(352) 587-1868, include your name in the text as well as the word SLO program. I will then call you to gather more information. All information you provide will be kept confidential.

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Your name *

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Email *

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Address *

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Phone number *

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Your child's name *

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Your child's favorite color *

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Your child's favorite character/ animal. please list 2. *

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