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Intake form
Help us serve you better
Name
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Email address
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What is your child's age?
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Under 4
4-5
5-7
Which learning level are you interested in?
Please select at least one option.
Hands-On Makers Lab
Practical Life Skills Studio
Creative Arts & Expression
Story & Language Lab
Math & Logic Center
What are your preferred class days?
Please select at least one option.
Monday
Tuesday
Wednesday
Thursday
Friday
What is your preferred class time?
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Morning
Afternoon
Evening
Please describe any specific needs or interests your child has.
Which service or services are you interested in?
Please select at least one option.
Hands-On Makers Lab
Practical Life Skills Studio
Creative Arts & Expression
Story & Language Lab
Math & Logic Center
Additional questions or comments
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