Parenting Education Program (Meriden) – Nov 7

About this event

Please Note: This is a one-day class for six hours, plus a one hour lunch break

Parking: parking is in the rear of the building, entrance is also in the rear

PEP Event Registration

Email This field is for validation purposes and should be left unchanged.

Which Class

Important: Your registration for this class is not complete until the payment portion has been completed. After you register, you will receive an email from Kay Starks to complete your registration for the P.E.P. class you selected. If you have a fee waiver as payment, please email Kay for the waiver code. Kay.Starks@Klingberg.org (860) 832-5756

Name (Required)

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Last

Address (Required)

Street Address

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Email (Required)

How did you hear about us? Court Brochure Online Search Family or Friend Lawyer or Mediator

You have the right to attend the class together or separate from any individual. Is there anyone who you do NOT want to attend the same class as you? (Required)

Yes, I do not want a specific person attending the class with me.

No, I have no preferences who attends the same class.

Have there been any safety concerns or domestic violence issues between you and your child(ren)’s other parent? (Required)

Yes, there are there have been safety concerns or domestic violence issues.

No, there have not been safety concerns or domestic violence issues

Are there currently any active restraining orders, protective orders or no contact orders for either parent? (Required)

Yes, there are restraining/protective/no-contact orders

No, there are not any restraining/protective/no-contact orders

Do you need a class taught in Spanish? / ¿Le llamaremos para registrarle? (Required)

No

Si (Yes)

Do you have any special needs to assist you in attending the class? (Required)

Yes, I have special needs for attending the class

No, I do not have any special needs for attending the class

By checking this box, you agree that you have read and understand the statement below. (Required) I understand that filling out this form does not guarantee me a spot in any specific Parent Education Class. A confirmation email will be sent to you regarding this form and payment. If the requested class is not available, you will be provided with alternative classes. Cost is $150 and payment is due in advance. We accept credit/debit cards.

I Agree that I have read and understand.

Continue to Payment