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2. Please provide the following information to RSVP to the Conversations on Race program at the Mansfield Public Library on Tuesday, March 17 at 6:30 PM. Free childcare will be provided.
4. First Name
5. Last Name
7. Phone Number
8. Email Address
10. We will not, in any circumstances, share your personal information with other individuals or organizations.
12. Will you need childcare?

    1. Yes
    2. No
14. If yes, please provide the number of children in need of childcare:
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

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