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* 1. Monthly AV Village Presentations (Please check all that apply):

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* 2. Outings (Please check all that apply):

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* 3. Classes & Activities (Please check all that apply):

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* 4. Are you willing to give a presentation, lead an outing or activity and/or give a class?

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* 5. Please indicate your preferences for days for when activities would be offered (Please check all that apply)

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* 6. Please indicate your preferences for timing when activities would be offered (Please check all that apply)

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* 7. Please indicate your preferences for timing for when activities would be offered in relation to the senior lunch (noon to 1 PM on the 1st, 3rd &4th Tuesdays & every Thursday) 

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* 8. Please indicate the level of participation you feel you would want, i.e. I would like to participate (Please check all that apply):

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* 9. If you would like to be contacted about these activities please provide your contact info:

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