|
SPECIALTY WORKSHOPS
|
|
PERSONAL INFORMATION |
| First Name:
Last Name:
|
Parenting Partner
First Name:
Parenting Partner Last Name:
|
| Address:
City:
Zip:
|
Daytime Phone:
Evening Phone:
Email:
|
| 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:
|
|
|
|
WORKSHOP INFORMATION |
| Which workshop would you like to
register for? (Select one below) |
|
Nurturing Parenting Program
for Non-Custodial Parents |
Fridays,
January 25 - March 14
10 - 12 pm |
CARE
31900 Utica Rd., Fraser 48026
(Southeast corner of Masonic & Utica) |
Tuesdays,
January 29 - March 18
6:30 - 8:30 pm |
|
Exploring Relationships |
Thursdays,
January 31- April 3
6:30 - 8:30 pm
(No class: 02/21 and 03/20) |
CARE
31900 Utica Rd., Fraser 48026
(Southeast corner of Masonic & Utica) |
|
Teaching and Leading
Children (TLC) |
Tuesdays,
January 22 - February 26
6:30 - 8:30 pm |
MISD-Garfield Building
37623
Garfield Rd, Clinton Twp. 48036
(Southwest corner of
Garfield and Millar) |
|
Parenting Children with
ADD/ADHD |
Mondays, January 21 - March 17
No class: 02/18
6:30 - 8:30 pm |
St. John Macomb Hospital
12000 E. 12 Mile Rd., Warren 48093
(Main hospital/lower level/next to auditorium/Room G-103) |
|
Adolescent Anger Management: 15 - 18 year olds |
|
Thursdays,
January 10 - March 14
6:00 - 7:30 pm |
CARE
31900 Utica Rd., Fraser 48026
(Southeast corner of Masonic & Utica) |
|
|
PAYMENT INFORMATION
*Clicking submit at the
bottom of this page will take you to our secure checkout for credit
card payments.
|
|
|
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 |