Nonviolent Parenting Series Registration Form
Please fill out the following registration form which will officially enroll you in the Parenting for a Peaceful Community: Nonviolent Parenting Series.

Payment: We are able to take various forms of payment. If you would like to discuss payment plan options or have any other questions, please contact us directly: info@latinxparenting.org.

Please indicate the series you are wanting to register for: *
Name *
Your answer
E-mail *
This will be the e-mail address used when submitting an invoice.
Your answer
Phone Number *
Your answer
Have you, in the last year, taken the Intro to Nonviolent Parenting workshop or another Latinx Parenting workshop? (Discount will be reflected in total cost.) *
Are you attending with another person? *
If yes, what is your relationship to the other person?
Your answer
If yes, what is the person's name?
Your answer
Where did you hear about this course? *
Your answer
Have you previously taken a parenting class? *
If so, which parenting class have you taken?
Your answer
What are your goals for this course? *
Your answer
Do you have any dietary concerns or considerations we should know about? (For example, a nut allergy.) *
Your answer
Is there anything else you would like us to know? *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.