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