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Parenting with a Purpose registration
Use this form to register for an upcoming parenting session at Centers. One form per participant.
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* Indicates required question
Email
*
Your email
Your First and Last Name
*
If more than one person plans to attend together, please register each person separately.
Your answer
Your Phone Number
*
Your answer
Your Mailing Address
*
Your answer
For which Session would you like to register?
*
Each Session has 4 classes. You must attend/participate in all 4 classes in order to receive a Certificate of Completion. If you miss a class/classes in one Session, it may be made up during a subsequent Session.
Second session closed
June 4-June 25, 2024
August 6-August 27, 2024
October 15-November 12, 2024 (skipping 10/29/24)
Your Date of Birth
*
MM
/
DD
/
YYYY
How did you learn about Centers' Parenting with a Purpose? (counselor, CPS, attorney, doctor, etc)
*
If you were referred by a person or organization, please list the name of the person or organization.
Your answer
Have you attended Centers Parenting class(es) before?
*
Yes
No
Maybe
How would you like to attend the classes?
*
Zoom
In-person (3701 Andrews Hwy)
Either Zoom or in-person
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