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TAGIT Parent Application
TAG-IT Parent Application
Name
(required)
Address
(required)
City
(required)
State
(required)
Zip Code
(required)
Home Phone
(required)
Work Phone
Cell Phone
Email
Please list several topics you would like to see addressed during the course of this class:
List topics here.
Are you married?
Yes
No
Will both spouses be attending this 7 week course?
Yes
No
Is your child court ordered to participate?
Yes
No
Is your child receiving community service credit?
Yes
No
If so, how many hours of credit are you receiving?
Do you have a religious affiliation?
Yes
No
If so, what affiliation do you have? (i.e., Methodist, Baptist, Catholic, etc.)
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