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Parent Class Registration Form
Thank you for your interest in our Parent Enrichment programs. After we receive this form, a staff member will contact you to confirm the dates and time of your class, and provide a Zoom link for online classes.
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I am interested in registering for the following program(s):
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Setting Boundaries - Wednesday, June 12th
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First Name
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Your answer
Last Name
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Your answer
Contact Phone Number
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Your answer
Email Address:
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Your answer
Mailing Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
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Your answer
If you are attending as a parent or caregiver, what are the ages of your children?
Your answer
If you are attending as a professional, what is your job title?
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Your answer
Is there anything else you want us to know that will help you get more out of the program?
Your answer
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This form was created inside of Kennebec Valley Community Action Program.
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