Parenting Seminar Registration
We believe signing up for this will help you to become a greater positive influence in a child's life.
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Full Name *

Ex. Jim Davis
 
Mobile *

If Applicable
 
What Method of Communication would you prefer? *



 
Do you have another Paritcipant to add? *

     
 
Full Name *

Ex. Jim Davis
 
Do you need childcare? *

Childcare will only be provided for 2 yrs. - 5th grade. (Babies can stay with parent/s in seminar)

 
Please provide the number of children and thier ages on the line below.

e.g. 2 children - ages 4 & 9;
 
PAYMENT PAGE

 
How Many Participants are you paying for?


 
Cost for One Participant is $10. The Cost for 2 Participants is $20.

Cost covers books, childcare (if utilized), and meals.
 
Please enter your Credit or Debit Card number:

 
The CVC number:

(3 or 4 digit security number on the back of your card)
 
The name on your card:

 
Your card's expiry month:


 
Your card's expiry year:


Can't Wait for January 26 & 27! 
Please click on link below for schedule and Info...
Parenting Seminar Info Page
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