Love and Logic Interest Form
Thank you for your interest!  We want to hold classes at times that are best for you/your family.  Please complete this form and we'll be in touch as we schedule classes.  
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First Name (Person #1) *
Last Name *
E-mail Person #1 *
Person #2 (optional) First Name
Last Name
E-mail Person #2
I am located in: (Name the city please) *
I/We *
Required
I/We would attend: *
I am willing to travel to attend a class. (Due to Love and Logic corporate expectations, classes must be held in person and cannot be held online.  I'm bummed about this too!) *
Of the options below, what EVENINGS AFTER 5PM would work best for you?  Check all that apply. *
Required
Of the options below, what WEEKEND DAYS would work best for you? *
Required
Ages of Child(ren) *
Required
I hope to get information to help our family with: *
Required
I would need child care to attend a class. *
Anything else you'd like us to know?
If you would like your local church or school to host these classes, please share a contact name and number, and we'll reach out to them.  Thank you!
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