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- Do you meet the income requirements?*
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- Are you a KCR Employee?*
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Format: (000) 000-0000.
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- What shopping method would the family prefer:*
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- Family's primary language*
- Will this family need an interpreter?*
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- Number of children shopping for*
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- Gender*
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- Are you interested in a bike/skooter in leu of toys?*
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- Do you want to complete a form for a 2nd child?*
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- Gender*
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- Are you interested in a bike/scooter in leu of toys?*
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- Do you want to complete a form for a 3rd child?*
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- Gender*
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- Are you interested in a bike/scooter in leu of toys?*
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- Do you want to complete a form for a 4th child?*
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- Gender*
- Are you interested in a bike/scooter in leu of toys?*
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- Community Appointment*
- Community Appointment*
- Employee Appointment*
- Appointment*
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- Should be Empty: