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Name
   
 
 
 
Telephone
   
 
 
 
Email Address
   
 
 
Check which weekdays you can commit to this program
Monday
Tuesday
Wednesday
Thursday
Friday
 
 
 
Which times could you commit to on Saturday
 
8 am
 
10 am
 
12 noon
 
2 pm
 
4 pm
 
7 pm

 
 
 
Which times could you commit to coming on Sunday?
 
2 pm
 
4 pm
 
7 pm