Register for Parent Education Program

Fields marked with an * are required

Parent Education Program Registration
You have the right to attend the class together or separate from any individual. Is there anyone who you do NOT want to attend the same class as you? *
Have there been any safety concerns or domestic violence issues between you and your child(ren)’s other parent? *
Are there currently any active restraining orders, protective orders or no contact orders for either parent? *
(Le llamaremos para registrarle) *
Do you need a class taught in Spanish?
Do you have any special needs to assist you in attending the class? *
By checking this box, you agree that you have read and understand the statement below. *
I understand that filling out this form does not guarantee me a spot in any specific Parent Education Class. An email will be sent confirming that payment and registration are complete prior to the day of your class. If the requested class is not available, you will be provided with alternative classes by phone or email. Cost is $150 and payment is due in advance. We accept credit cards, cash and money orders. Thank you.