Parenting Workshop

Nov 15- 8:30AM-1:30PM & Nov 16- 8:30AM-9:45AM | $15 registration fee includes Parenting Workshop registration for an individual or couple, light breakfast, refreshments and lunch. Childcare is free. Please fill out this form and click submit.

Workshop Registration

Name

*

Does your spouse plan to attend?

*

Please select one option.

yes no

Spouse's Name

Email

*

This address will receive a confirmation email

Phone

*

Childcare Registration

Do you require childcare during the workshop?

*

Please select one option.

yes no

Child's Name

Age

Please select one option.

0-2 years 2-4 years 5-8 years 9-12 years

Child's Name

Age

Please select one option.

0-2 years 2-4 years 5-8 years 9-12 years

Child's Name

Age

Please select one option.

0-2 years 2-4 years 5-8 years 9-12 years

Child's Name

Age

Please select one option.

0-2 years 2-4 years 5-8 years 9-12 years

Children's Allergies or Other Info

Contact Cell Phone

Registration Fee $15.00

Description

Nov 15- 8:30AM-1:30PM & Nov 16- 8:30AM-9:45AM

$15 registration fee includes Parenting Workshop registration for an individual or couple, light breakfast, refreshments and lunch. Childcare is free. Please fill out this form and click submit.

Please Fix the Following

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