Register
early and
save
Becoming a Love & Logic® Parent Workshop Registration
Tuesdays 11AM - 1PM  January 17 - February 28 2012
2nd parent
last name:
Parent last
name:
2nd parent
first name:
Parent
first name:
Number and Street:
 Appt:
City
State:
 Zip:
Please register the parent(s) listed for
the January-February 2012 workshop*
email
Early registration (on or before January 10):
Telephones - please provide at least one
$175.50 individual
 $310.50 couple
Home
Registration (after September 24):
Cell
$195.00 individual
 $345.00 couple
Check if interested in child care if available
Work
*We will call you to obtain credit card payment or to provide instructions for paying by check or cash
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