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1. Please type your first and last name.

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2. Please type your child's first name.

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3. Please provide your home address if you would also like to receive Songs for Sound mailings, udpates and newsletters.

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4. What day of the week is best for you and your child to attend a Hope Student Gatherings?

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5. What grade is your child currently in?

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6. What types of activities would your child like to do? (Rank most preferred to least preferred).

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7. Each Hope Gathering will have an educational presentation prior to the social outing. (Rank most preferred to least preferred).

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8. What type of device/company does your child have? (ex: cochlear implant/company name or hearing aid/company name)

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9. How would you like to receive additional information about the event?

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10. If you will not be attending please explain why.

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