The Happy Medium Approach
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1.
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Full Name
2.
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Email
3.
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Phone Number
4.
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Full Address
5.
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Child Age
6.
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What time of day are you available for sessions?
Please check all that apply
Before school hours
During school hours
After school hours
Weekends
7.
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is there anything else you would like us to know or to ask us specifically?
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