PARENTING FROM THE HEART

Create the Family of your Dreams!

ENROLLMENT FORM

Name *

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Last

Second name if more then one person:

First

Last

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Phone: *

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Kid's Names and Ages: *

Course Dates: *

Course Location: *

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This form is to be completed AFTER PAYMENT of this course has been completed either through purchase online on our website or by check.

If you choose to cancel prior to the beginning of the course your tuition is transferable to a future course or can be used for parent coaching at a rate of $175 an hour, but not refundable. This course is guaranteed. Complete each session, and if your not 100% satisfied, your entire tuition will be returned with no questions asked. The Parenting From The Heart Course is educational; it is not intended to be a substitute for family counseling or psychotherapy.