Parenting Class

Online Registration Form

After completing this form you will be directed to the PayPal website to pay for the class

If you have questions, call CJ Gonzales at 477-1550 ext 2

Contact Information

Family Status:   

Select Traditional Family (Father and Mother - not divorced) Blended Family (Kids = His - Hers - Ours) Single Parent Family Grandparent Other  

                                                                                            You           Spouse (if attending)

Select Yes No

        His Response:     If you were to die today, do you know for sure where you would go?

Select Yes No Not Sure

______________________________________________________________________________________________

 If you went to heaven and God asked, "Why should I let you into heaven?" 

What would you answer?

        Her Response:      If you were to die today, do you know for sure where you would go?

Select Yes No Not Sure

______________________________________________________________________________________________

 If you went to heaven and God asked, "Why should I let you into heaven?" 

What would you answer?

Family Information & Childcare Registration

                                                                                                                           Living at     Need

                                                                                                                             Home?  Childcare?

                                                                      Name                                    Age    (Y or N)    (Y or N)

Childcare: For children 8 weeks to age 12 - must be pre-registered.

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