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Parenting Class Registration
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Email address *
First Name *
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Last Name *
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Date of Birth
MM
/
DD
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YYYY
Please provide the names and ages of your child/children
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Thursdays, November 1st-December 13th (6 weeks) 1:15pm-2:30pm *
Text/ Cell phone: *
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e-mail:
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Landline phone:
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Please share your preferred communication method *
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If there is a better day and time please list below
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