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2. 
3. Suggest a Recreation Program
5. Name*
7. Phone Number
8. Email Address
10. What class/activity/program would you like to attend that is currently not available? (please describe)*
12. Would you or someone you know be able to lead this? If yes, please provide name & phone number here.
14. What would be best time of day for this program/class/activity?*

    1. Morning (6:00 a.m. - 11:00 a.m.)
    2. Lunch (11:00 a.m. - 1:00 p.m.)
    3. Afternoon (1:00 p.m. - 5:00 p.m.)
    4. Evening (5:00 p.m. - 8:00 p.m.)
16. What age group should be allowed to attend?
18. Does this activity require any special equipment?
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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