Language
English (US)
Spanish (Latin America)
Parenting Enrichment Course Registration
Fill out the form carefully for registration to secure your spot in the next class. Parenting Classes are free to attend. For questions about parenting courses for English speaking parents, contact Lynn Hooper, Parenting Director, at (864)-467-4099 or lynn@justsaysomethingsc.org! For any questions about parenting courses for Spanish Speaking parents, contact Mally Mitchell, Parenting Coordinator, at (864) 467-4099 or mally@justsaysomethingsc.org.
Participant Name
*
First Name
Last Name
Participant E-Mail Address
*
example@example.com
Participant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
/
Month
/
Day
Year
Relationship to Child
*
Mother
Father
Grandparent
Guardian
Other
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Would you like to register an additional participant for this course?
Yes
No
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Additional Participant Information
Please provide the following information for the second parent or guardian that will be participating in the course.
Participant Name
First Name
Last Name
Participant E-Mail Address
example@example.com
Participant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
/
Month
/
Day
Year
Relationship to Child
Mother
Father
Grandparent
Guardian
Other
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Additional Information
Please provide the following information.
Number of children in family
Our courses are for PARENTS and GUARDIANS only. Unfortunately, children may not attend.
Ages of children in family
Have you previously taken a parenting class? If so, where?
How did you hear about Just Say Something?
DSS or Family Court
Attorney
Website
Word of Mouth
Other
DSS or Family Court County
Social Worker's Name
First Name
Last Name
Social Worker's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Social Worker's Email Address
example@example.com
Did DSS specify which course to take? If so, which one?
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Course Selection
Are you a resident of South Carolina?
Yes
No
South Carolina Residents: Click the Parenting Enrichment Course(s) for which you would like to register.
Back in Control - Participant
Back in Control - Couple
Parenting Wisely - Participant
Parenting Wisely - Couple
Transparenting - Participant
Transparenting - Couple
Back In Control SPANISH- Participant
Back In Control SPANISH - Couple
Parenting Wisely SPANISH - Participant
Parenting Wisely SPANISH - Couple
Triple P Positive Parenting - Parent
Additional Certificate of Completion
Questions or comments?
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