2. Date:
3. Location
4a. Name of Organizer: {First name; last name}:
4b. Organizer Contact Information: (Area code, phone number}; {email address}: XX
5. Conversation participants: (number of people, affiliations, etc. not names; e.g., 10 people – three mothers and two fathers of school-age children; five grandparents): XX
6. Summary of Conversation: (optional)
What were people most passionate about?
What was the most important point or topic discussed?
What was the most unexpected or surprising thing you heard?
Additional comments (if you wish to include a summary of themes that emerged from the discussions, please include it here (optional):
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