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Generations
First Name
Last Name
Phone Number
Email
ZIP Code (This will help us find a group that's nearby)
Gender
Male
Female
Age
Youth (13yr - 17yr)
Young Adult (18yr - 30yr)
Adults (30 +)
What days of the week are best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends
Preferred City
Indio
Coachella
La Quinta
Palm Desert
Cathedral City
Palm Springs
Desert Hor Springs
Lakewood
San Pedro
Are you interested in groups that offer childcare?
Yes
No
Anything else you would like to share?
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