Conscious Discipline Parent Registration 2024
If more than one parent/guardian is attending, submit a separate registration form for each.
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First Name *
Last Name *
Email *
Phone *
School District *
How many children do you have between the ages of 0 - 11-years-old? *
Please indicate the ages of the children referenced in the above.
IF the ESC makes childcare available, would you need this service to attend the workshop? *
The ESC will be providing lunch.  If you have any dietary restrictions, please detail them below.
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