| Name | Suzanne Coit |
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| Email | Email hidden; Javascript is required. |
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| Which walks would you like to attend? | - Monday, July 22nd 1pm – 2:30pm at Mount Vernon Lions Club
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| Optional Information | As part of our program delivery, we gather information to help us understand who is, and who is not, receiving services. The information you provide will be securely stored, will not be shared with other participants, and will be reported without your name or identifying information (aggregated).
Thank you for filling out the following questions honestly and completely. Only your name and email are required but your complete answers allow us to understand who is (and who is not) receiving services in our community. |
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| How old are you? | 61+ |
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| What language is primarily spoken in your household? | English |
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| Which of the following United General District 304 programs do you participate in? | - United General Fitness Center
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| If you're interested in donating, there will be a link to do so in your confirmation email. Suggested donation to contribute to the longevity of the program is $5 a walk, please give what you can. We look forward to seeing you on the trails! |
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