Registration for Parenting: Pitfalls, Perseverance and Problem Solving

Name

Phone Number

Email Address

Is there anything you'd like us to know or a certain topic you would like addressed?

How did you hear about this workshop?

Would you like to be added to our email list to receive info on future classes/workshops? Would you like to be added to our email list to receive info on future classes/workshops? yes no

Do you need childcare? Do you need childcare? yes no

Please enter the name(s) and age(s) of each child. (If you need childcare for more than 3 children, please call 262-376-7774)