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Indicate your interest in Conscious Discipline Parenting -- IN PERSON! 
This free program for residents of the Illinois Valley is sponsored by a partnership between The Family Connection and Healthy U.

For parents of children ages birth to 5+

@ Illinois Valley Family Coalition
535 E River St, Cave Junction, OR

Completion of this form does not guarantee your space in the class. Please enter your contact info and we will contact you to confirm your registration. Please be aware that space is limited and offered on a first-come, first-serve basis. 

Questions? Contact All Around Kids Community Preschool Staff at 541-203-7550.

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Email *
Parent(s) first and last name - please list all who plan to attend *
Do you need childcare?  Open to children age 2-9
Child's First and Last Name - please list all that need childcare *
Child(ren)'s Age(s) *
Email *
Phone number *
What is the Zip Code of your Physical residence? *
Can you commit to attending all 8 classes? *
Any dietary restrictions or medical needs? Anything else we should be aware of?
Comments or Questions?
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