Smart from the Start Registration Form

"Smart from the Start"

FREE Parent Seminars and Workshops
Participant Name

First NameLast Name
Participant's Birth Date

MonthDayYear
Please list your child's/childrens' age(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Please select ALL seminars and workshops that you want to attend.

All will be held at the Community Recreation Center, 229 Madison Street, Oak Park, IL. Wednesday night seminars are available in person or online.
Please select all seminars and workshops that you want to attend. All will be held
Parenting Seminars (4th Wednesday of the month from 6:30-7:30pm)
Parenting Workshops (Sundays from 11am-1pm)
If you selected a Sunday workshop, there are a limited number of childcare spaces available day. Are you interested in reserving a childcare space?
What do you hope to learn during your time with us?
How did you hear about the "Smart from the Start?"
Should be Empty:

"Smart from the Start"