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"Interest List" Higher Octave Healing Start with Music (0-5 years old)
8 week Series on Tuesday Afternoons
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Email
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Adult First and Last Name
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Your answer
Phone Number
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Zip Code
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Your answer
Only 2 children per family, ages 0-5 years old, will be allowed to attend this in-person session. Please list the NAME(s) of the child(ren) who will be attending this session.
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Your answer
Only 2 children per family, ages 0-5 years old, will be allowed to attend this in-person session. Please list the AGE of the child(ren) who will be attending this session.
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Your answer
Is this your first time registering for any activity
this school year
with the Thrive to Five Family Resource Center?
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No
Thrive to Five understands that there may be a time where you may be absent due to unforeseen circumstances. Are you able to confirm that you will commit to attending four consecutive Wednesdays for this series?
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No
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Please select the session(s) you would like or are available for:
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9:00 - 9:15 a.m. -Thursdays in November 9th, 16th, 30th and Dec. 7th
10:00 - 10:15 a.m. -Thursdays in November 9th, 16th, 30th and Dec. 7th
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A copy of your responses will be emailed to the address you provided.
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