CIB Registration

Children in Between Registration

Please complete the form below to register for our Children in Between Class

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Do you have any dietary restrictions we should be aware of? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Which class are you registering for? *

Nov 6th, 13th, and 20th I want to be contacted for future classes

How did you hear about us? *

Do you have any special needs for learning in a classroom? If so, please indicate what your needs are. *

Child care, as available, will be provided for each series. Please list the number of children you would be bringing with you and the ages below. Please include any special needs or allergies as well. *

Children in Between operates on an income-based sliding scale fee ($70-$150). Your registration includes a follow-up parent consultation six months after the class ends. After registering, you will be directed to the payment portal which includes further details about the sliding scale. If you have any questions or concerns, please contact hannahw@familiesfirstmt.org

Submit