Guiding Good Choices Program Registration

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Please fill out this registration form with your contact information to sign up for The Center for Urban Youth and Family Development's Guiding Good Choices Program. This is a 5 week program that will:

1. Enhance your parenting skills and family relationships.

2. Reduce problem behaviors.

3. Improve social competencies and enhance school performance.

4. Enjoy delicious meals and have a great time!

Mothers Name (First, Last)

Fathers Name (First, Last)

How many children (ages 0-7) do you have?

1-2

2-3

3-4

4-5

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How many children (ages 7-17) do you have?

1-2

3-4

4-5

Clear selection

What is the best email to reach you at?

What is the best phone number to reach you at?

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