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Format: (000) 000-0000.
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- What is the best way for Clover to contact you?*
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- How are you connected to Clover, formerly Kingsley House? Select all that apply.*
- Which Clover or Kingsley House program were you connected to?*
- Approximately when were you connected to Clover (formerly Kingsley House)?*
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- How would you like to reconnect with Clover during our 130th anniversary year? Select all that apply.
- Are you interested in attending the return of Clover's Fall Fest?
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- May Clover contact you to learn more about your story?*
- May Clover share portions of the story you submitted in anniversary communications?*
- May Clover contact you about 130th anniversary activities, Fall Fest and other opportunities to reconnect?*
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- Should be Empty: