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* 1. How old is your child?

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* 2. Do you have any other children you would like to bring to the program? Select all that apply

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* 3. What days of the week work best for you? Select all that apply

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* 4. What times in the mornings work best for you? Select all that apply

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* 5. How many weeks would you be interested in attending the program?

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* 6. Would you prefer shorter programs (30 minutes) or longer programs (45 minutes to 1 hour)?

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* 7. Do you have any additional comments or suggestions?