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#LoveHeals Parent/Guardian
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Full Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Do you give permission for your child to join the #LoveHeals group?
*
Yes
Not at this time
Do you give permission for your child to be added to the #LoveHeals Group Inspirational Chat?
*
Yes
Not at this time
Would you like to be added to our email or text list to be notified of upcoming events?
*
Yes, email me
Yes, text me
Not at this time
Do you have anything else you would like to share?
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