Growing Great Families - Enrollment Form
Please use this form to enroll in
** Toddlers, Preschoolers & Tantrums (find more info here: https://growinggreatfamilieswy.weebly.com/toddlers--tantrums.html)
** Raising Teens - a 6 week class (find more info here: https://growinggreatfamilieswy.weebly.com/raising-teens.html)
Questions? Email GrowingGreatFamilies@gmail.com
First Name *
Last Name *
Email Address *
In which class are you enrolling? *
Please choose your class below. All times are in Mountain Time
Payment Options - please select one from the following choices:
- $20/person for Toddlers & Tantrums
- $125/ person for Raising Teens
- Sliding scale available - see below
Payment is expected upon enrollment in the form of Venmo transfer or credit card using Square. To secure your spot, please indicate your payment plans below:
I will pay by: (payment option links will appear once you submit this form) *
Required
Payment Options - please select one ($20 for Toddlers & Tantrums ... $125 for Raising Teens) *
Please use "Other" option if you need a sliding scale and indicate the amount you will pay
If paying by Venmo, you can use this picture to verify you have the correct Rachel Wigglesworth :)
Parenting Challenges
Optional: Please give Rachel some ideas of the challenges you are working on with your child(ren) at home.
What are your biggest parenting challenges? What are you hoping to get out of this class? What topics would you like to see covered? Any other comments?
Age(s) of your children
Please enter the age of your child/children below. (Note - there is an option to indicate that you do not have children)
Child 1: *
Child 2:
Child 3:
Child 4:
Child 5:
Where do you live?
City
State
Where did you hear about this class?
Click all that apply. Please add specifics in the "other" category. For example, where you saw the flyer; at which preschool you heard about the class; or if you found out about the class in a different way.
Would like to receive Growing Great Families' periodic and infrequent newsletters to read Rachel's blogs and hear about class offerings?
Clear selection
Thank you! Payment links and other details will appear once you hit "submit".
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