Triple P Parenting Education Class Registration

Classes run on an 8 week rotation and the cost if $100. A client cannot join the class in the middle of an 8 week session, only on the dates listed below.

Once you complete the registration and payment online below, Karen will contact you with more information.

All classes start at 6pm.

July 9 – August 27

September 3 – October 23

October 29 – December 17

Name:*

First

Last

Phone*

Alternate Phone

Email*

Address*

Street Address City State / Province / Region Postal / Zip Code

What county do you live in?*

Reason for Taking This Class*

Caseworker Name and Phone Number (if applicable)

Using the space below, please enter the names of your children, the genders of your children, the ages of your children, and indicate whether they currently live with you*

Price

Total

Triple P Parenting Education Class Registration Form