The Care Connection Class Waitlist
We are working to accommodate you! Submit your preferences & date information below to be notified of any cancellations or additional dates added. 
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Your Full Name *
Phone *
Due Date
MM
/
DD
/
YYYY
I am interested in the following classes: *
Required
Class Preference *
Comments *
Include the class & date(s) you were hoping for as well as any additional comments including day/time preference for future classes.
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