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SBV EBP Registration Form
Welcome to SBV‘s Effective Black Parenting (EBP) Registration Form. We offer 16-Session parenting courses to those court-mandated to take parenting classes, and those who want to improve their parenting with culturally-rich parenting instruction. Certificates are available upon completion.  

Please fill in the following information to register for a future Effective Black Parenting Course 
October-January will be reserved for nutshell workshops, so if you would like one at your site, or wish to know more, please contact us. Our next full course is tentatively February – March 2025. Stay tuned for details. If you register on this form, or express interest, we will get in touch. Please make sure you indicate if you have a preference for a particular start date, time, etc., or if you are in the Los Angeles area and prefer in-person to Zoom, because we may be able to accommodate if there are enough requests.     Thank you!  

Rev. Christy Ann Clark - revcaclark@strengtheningtheblackvillage.org -
www.strengtheningtheblackvillage.org 
(323)804-8469 

Email *
First and Last Name *
Prefered E-Mail (to recieve gift cards, reminders, etc.): *
Street Address (including apartment/unit) *
City *
State *
Zip Code *
Main Contact Phone Number *
Second Contact Phone Number
How did you hear about Strengthening the Black Village? *
Why are you taking this parenting course? *
What would you like to learn or receive from this parenting course? *
Which is the BEST way to contact you? *
Required
How many children do you have in your home (including biological, foster, adopted, godchildren, nieces/nephews, grandchildren)? *
Do you have any more comments, questions, concerns, or simply something you want us to know about you or your family? For example, if you would like us to include cultural information for another cultural/ethnic group, such as Latinx, please let us know.  
By checking ALL the following commitments and pressing"Submit" you agree to abide by these standards., and doing so constitutes your signature. *
Required
Today’s Date *
A copy of your responses will be emailed to .
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