SRC Parenting Skills Registration

PARENTING SKILLS WORKSHOP REGISTRATION

NOTES:
- Sessions are Tuesdays at 10 am
- Use one form per parent
- We will contact you after registration for payment.
- Sessions held at Sasco River Center Wilton (396 Dandbury Road, Wilton CT 06897)
Which Unit(s) are you registering for?

Series One ($600, 10 sessions, 2/11-4/13)Series Two ($480, 8 sessions, 4/27-6/16)
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Additional Comments
Should be Empty: