Parenting with Positive Discipline Registration Form
January 27 - March 31, 2019
Name(s) of Parent(s)
Names and Ages of Your Children
Preferred E-Mail Address
Preferred Phone Number
This class meets eight times, and concepts build upon one another each week. Please confirm that you are available to attend all class meetings.
I plan to attend all eight classes.
I have conflicts that will prevent me from attending the class regularly.
Will you take advantage of child care?
Describe the greatest challenge you are currently facing you your parenting practice.
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