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The Re.Imaginaries Kind.er Cohort Interest Form
Hello, and thank you for your interest in The Re.Imaginaries Kind.er Cohort! Please complete the form below and we will get back with you shortly!
Child's Name:
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Child's Birthday
*
What are your child's pronouns?
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What experience does your child have with other classes, preschools or group settings?
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Does your child have any severe allergies or medical needs?
*
What else would you like us to know about your child/family?
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Parent/Guardian Information
First Name
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Last Name
*
Your Email
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Your Phone Number
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What's The Best Way To Contact You?
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What's The Best Way To Contact You
A
Call
B
Text
C
Email
How did you hear about us?
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What about our program sounds exciting to you?
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Would you like to receive or weekly newsletter, The Weekly Reframe?
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Would you like to receive or weekly newsletter, The Weekly Reframe?
A
Yes Please
B
No, thank you!
C
I am already am
Submit
