Reconnecting With Your Child
Please complete the following information to be registered for one of our 4 week classes.
First and Last Name
Your answer
Your answer
Best phone number
Your answer
To which feeder pattern does your student belong?
For which class would you like to attend?
How many children will need childcare provided for ages 5 and up?
I acknowledge that there is a $10 book fee for this course for which I will pay at first session by cash, check or money order. (the book is yours to keep)
I acknowledge that in order to receive certification for either class, I must attend all four sessions in their entirety. (Sept. 26, Oct. 3, 10, and 17)
I acknowledge that there is a 5 person minimum and a 30 person maximum on each class which is determined by a first come, first served basis.
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