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* 1. Have you ever attended a Parent Cafe before?

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* 2. Please choose which Cafe you are registering for:

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* 3. How many adults will be attending?

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* 4. Will you have children needing care? If yes, how many and ages?

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* 5. Do your children have any special needs or considerations for a caregiver? If yes, please list.

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* 6. Do your children have any allergies? If yes, please list.

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* 7. Please list your name, email address, and current phone number. This will be used to send out a reminder before the cafe.

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* 8. How did you hear about us?

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* 9. Would you be interested in receiving upcoming events and programs from the Building Bridges Texoma in the future? If so, please leave your email address.

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* 10. Will you like, share, and invite your friends list to follow us on Facebook and Instagram at Building Bridges Texoma?

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