AIP Group Registration

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This program is a 32 week course for court ordered clients. The intake fee is $50 and is required in cash or money order. Classes are $20 week and have to be paid by the same options. Class is held on Thursdays at 6 pm, at 106 Milford St, Suite 104, Salisbury, MD 21804. Please provide answers to the following questions. You will be contacted by email with more information regarding your intake forms and about your start date.

Email *

Name *

Phone Number *

Referral Information

Which County are you being referred from? *

Somerset

Worcester

Other- does not guarantee admittance into the program

Wicomico

What is your probation officers' name? *

Are you able to participate in some hybrid learning (class information/assignments online)? *

Yes

Required

Questions

Please list any questions you have about the program. The facilitator will respond with information

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