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Open House Registration

* indicates a required answer.

1. *

Name:

2. *

Phone Number:

3. *

E-mail

4. *

Number of children, ages, and grades

5.

What day would you like to attend?

March 6, 2019 March 20, 2019
6. *

Would your child(ren) be interested in being paired with a buddy during the Open House?

7. *

Do you know anyone in CHEX currently?  If so, please state their name.