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Humane Education Request

1. Contact Information:

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Name:

 

 

   

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If you respond and have not already registered, you will receive periodic updates and communications from Wayside Waifs.

 

 

What's this?

*2.

(Maximum response 255 chars, approx. 5 rows of text)

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6.
Question - Not Required - Which program are you interested in?

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(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

*10.
Question - Required - Preferred date of program* Because weekends are our busiest days for adoptions, educational programs are only presented Monday-Friday.




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*12.
Question - Required - In case your preferred program date is unavailable, please let us know what day of the week your group is typically available. Please select all that apply:

*13.

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty