PARENTING SCHOOL AGED CHILDREN

*The Parent’s Handbook by Dinkmeyer and McKay is required and is available at area bookstores.

PERSONAL INFORMATION

First Name:      Last Name :
First Name Parenting Partner:     
Last Name Parenting Partner:
Address:      City:      Zip:
Daytime Phone:      Evening Phone:
Email:  
School District:
How may we contact you?      
When we contact you may we identify ourselves as CARE and indicate you are taking a parenting class?    
 
Yes     No
Yes, I would like to receive CARE's FREE newsletter, Stepping Stones.
How did you hear about us?  
Comments:
 
The following information will be used for statistical reporting only to our funders and will not be used in conjunction with your name or other personal information.
Name of Parenting Partner (if registering as as couple):  
School District (that you live in):  
Gender:  
Age group:  
Race/Ethnicity:  
If childcare is available for the workshop you are registering for, please provide the following information:
Name of Child: Age:
Name of Child: Age:
Name of Child: Age:
Name of Child: Age:
Name of Child: Age:
 

WORKSHOP INFORMATION

Which workshop would you like to register for? (Select one below)
PARENTING SCHOOL AGED CHILDREN - $28 Per Person or $43 Per Couple
 
Date/Time Location
Thursdays, January 17-March 13
6:30-8:30 pm
No class: 02/14
 
St. John Lutheran School
16339 14 Mile, Fraser 48026
(West of Utica Rd./north side of 14 Mile
 
   
Tuesdays, January 22-March 18
6:30-8:30 pm
No class: 02/19
 
Lobbestael Elementary
38495 Prentiss, Harrison Twp. 48045
(Between 16 Mile and Jefferson/east of I-94)
 
   
Tuesdays, January 22-March 18
6:30-8:30 pm
No class: 02/19
 
Magahay Elementary
44700 Oleander, Sterling Heights 48313
(South of Hall/west of Schoenherr)
 
   
Wednesdays, January 23-March 19
6:30-8:30 pm
 
Avalon Elementary
20000 Avalon, St. Clair Shores 48080
(North of 8 Mile/west of Harper)
 
   
Mondays, January 28-March 31
6:30-8:30 pm
No class:  02/18 and 03/24
 
Cromie Elementary
29797 Gilbert, Warren 48093
(West of Schoenherr/south of Common)
 

PAYMENT INFORMATION

*Clicking submit at the bottom of this page will take you to our secure checkout for credit card payments.

I want to pay online here.
I would like to submit the form and send a check or money order

*Purchase of the appropriate textbook required in addition to workshop fee, except when noted in the Parent Education Schedule.
Call 586.541.0033 for information about where to purchase textbooks.

^If paying by check or money order, please submit completed form with payment to:
CARE
31900 Utica Road
Fraser, Michigan 48026
Ph: 586.541.0033
Fx: 586.541.0034