Class Registration for Parents of Young Spirited Children - A Class on Raising and Parenting the 3-1/2 to 7-1/2 Year Old Spirited Child

Payment for Class
Class cost is $285 for one parent and $395 for two parents from the same family.

Half the tuition, minus the $50 deposit, is due the first class and half is due by the end of the second class. For parents who need a reduced tuition, please contact the instructor to arrange this before completing your registration.

Refund of Deposit
There is no refund of the deposit unless you are unable to attend due to a change in dates originating from the instructor. If you wish to delay your participation to a later class, you may apply the deposit to hold a space for that time.

Cancellation Policy
After the second class, tuition will not be refunded. However, it may be used as credit on a future class.

^*I am Registering for:

Parenting the Spirited / Challenging Child
March 27, 2008

^*Parent 1

First Name
Last Name
Attending class? Yes No

Parent 2

First Name
Last Name
Attending class? Yes No

Contact

Home Phone
Work Phone
Cell Phone
^*Email Address

^*Address

Street
City
State
ZIP Code

^*Target Child

First Name
Age: years,months
Ex: For a child 8 years, 3 months old, enter 8,3

Behavior Problems
Please describe any behavior problems at home or school.

Siblings

Sibling #1 Name
Sibling #1 Age
Sibling #2 Name
Sibling #2 Age
Sibling #3 Name
Sibling #3 Age

Comments
What do you hope to learn from this class?

Questions? Comments?

How did you hear about this class?

Please note that your registration will not be confirmed until we have received your deposit.