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2023-2024 Community Circles Sign-Up
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First and Last Name
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Your answer
E-mail
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Your answer
Cell Number (for text reminders)
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Your answer
Which time works best for you? There is one meeting per month.
Consistent participation is important for the health of the group, please only choose circles that you are available at that time and will be able to participate
.
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Circle 1: First Tuesday 6pm PT/7pm MT/8pm CT/9pm ET
SPANISH SPEAKING ONLY!! Circle 2: First Wednesday 6pm PT/7pm MT/8pm CT/9pm ET
Circle 3: Third Thursday 6pm PT/7pm MT/8pm CT/9pm ET
Circle 4: Second Wednesday 6pm PT/7pm MT/8pm CT/9pm ET
I would like to join the WAIT LIST (if none of these days/times work for you)
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Diagnosis of Special Needs Child(ren)?
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Your answer
Age Range of Special Needs Child(ren)?
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Age 5 and Under
Age 6-10
Age 11-15
Age 16+
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Your City and State?
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Your answer
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