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OMA Registration - Winter Session 2023 - Saturdays

Saturdays, January 14 - March 4, 10:30-11:30 am

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First Name
Last Name
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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First Name
Last Name
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To better prepare our volunteers to work with your loved one, we would like to know about the participant’s fine motor skills, communication skills, physical limitations, and the comfort level outside of their home.