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September Life Readiness Class
Getting to Know Yourself
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Which date are you registering for?
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September 8th (4-7pm)
September 22th (4-7pm)
Participants First & Last Name
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Your answer
Participant Phone Number
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Participants Email
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Participants Age
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Parent/Emergency Contact First & Last Name
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Your answer
Parent/Emergency Contact Phone Number
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Parent/Emergency Contact Email
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I understand that by completing this registration form that I am signing up for a class, not therapy services. These classes are designed to provide information & education, not therapeutic interventions.
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