Class, Workshop, and Youth Program Registration
Register for our upcoming Classes, Workshops, or Youth Program by completing the form below. There is a $40 non refundable registration fee, due before the workshop or class begins. Pricing for programs varies and is based on household income and scholarships.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Participant Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which type of program are you registering for?
*
Certification Classes
Workshops
Youth Program
Other
Select a Class/Program/Workshop
CDA - Child Development Associate (120 Hrs) $0-$2400
ESL- English as a Second Language (60 Hrs) $0-$600
GED- General Education Development (3M) $0 -$600
CPR- Cardiopulmonary Resuscitation (6 Hrs) $0 -$100
LEAD- Youth Program $0 - $200 Monthly
HEAL- Health and Wellness $0 -$100 per class
EEP - Computer Workshop $0-$100 per class
EEP - Financial Workshop $0 -$100 per class
If participant is under 18, please provide parent/guardian name
First Name
Last Name
Parent/Guardian Email Address (if under 18)
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional comments or questions
Email
example@example.com
Register
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