Classes and Events Registration Please enable JavaScript in your browser to complete this form.Classes and Events *Managing Anger Class (10/28 to 12/16)Girl Power Grades 3-5 (10/28 to 12/16)Girl Power Grades 6-8 (10/28 to 12/16)Child's Name *FirstLastChild's School *Child's Current Grade *Parent's Name *FirstLastParent's Email *Parent's Mobile Number *Parent's Work Phone Number *Parent's Home Phone Number *Comment or Message *Payment Options *Full Fee via Credit CardFull Fee by CheckPayment Arrangements RequestedPayment arrangements are available upon request. If you choose to pay via personal check, payment is due at the first class. Credit card payments will be processed after submitting registration form. Credit Card NumberName as it appears on the Card *FirstMiddleLastExpiration DateCVV Security Code (3 Digit Code)Zip CodeEmailSubmit Share this:TwitterFacebookLike this:Like Loading...
