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Thank You For Signing Up

Please Fill Out the Forms Below if you are interested in this FREE Program!!



What to Expect

Moving forward here is what you can expect:


1. Below are a few forms to fill out. We understand that some of these questions may be sensitive, please fill them out to the best of your ability.


If you feel uncomfortable answering any of the questions provided, please do not feel pressured to answer. We want this to be an open but comfortable experience for you! 

2. Once your forms are completed we will send you a goody bag full of items needed to engage in the activities each week.

We also have a booklet that will be your guide throughout the playgroup. It provides an overview of what we will cover each week, and is full of additional resources.

Lastly, we will send you a $30 gas gift card for enrolling, and if you complete the program you will also receive an additional $100 Walmart gift card at the end.

3. If you have any questions at all please do not hesitate to email us at

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Form 1

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