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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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First Five Years starting April 22nd -- In Person Skowhegan
First Five Years starting April 22nd - Zoom
Required
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
Age of Children:
Your answer
How did you hear about our program?
Your answer
May we add you to our email newsletter to receive once a month with local events, classes and resources for parents and families?
Your answer
Is there anyone with whom you currently have restricted contact such that you could not both attend the same course? (ex, PFA)
*
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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