During this time we have limited office hours, however we are offering most services via Zoom. Please call our office to learn more.
Registration

Please review and complete the appropriate form below.

Registration Form - English
Register For: 
Cost

Suggested donation for any of these classes is $40 per person or $60 per couple, with the exception of Infant Massage.,Ready set Grow or ABC Parenting which is only $40.Donation can be made via PayPal or cash, check/money order at time of registration.

To make payment please click on the PayPal "Donate" link on the home page.To pay with check, cash or money order please contact the center to make arrangements.

Please Note: Participant MUST ATTEND FIRST CLASS otherwise seat will be forfeited

Participant #1
Role in Family
If "Other" please specify below
Marital Status
Participant #2
Role in Family
If "Other" please specify below
Marital Status
If both parents listed, will both be attending?
Address
Referred By:
Children
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Forma de Registración
Registrate en
Costo:

El costo por cualquiera de estas clases es de $40 por persona o $60.00 por pareja, con la excepción de Infant Massage que son $40.00. El pago se puede hacer en el momento de registración por medio de PayPal o en efectivo, cheque/money order. Si hace su pago por medio de PayPal, por favor haga "click" en el boton "Donate" en la Página Principal. Para pagar con cheque, efectivo, o Money Order por favor llame al Centro para hacer arreglos.

Nombre de Participante #1
Relación con el niño
Estado Civil
Nombre de Participante #2
Relación con el niño
Estado Civil
Atenderán ambos padres a la clase?
Dirección
Referido por
Children
Thank you! Your submission has been received!
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