COS Registration

We ask your permission to collect further information throughout the program including this registration form, surveys and participation. We will use this information to better understand the families we serve, report on program outcomes, and continuously improve our programs to better meet your needs. Your information will be kept confidential. Your participation and insights are invaluable in helping use create a more impactful and enriching experience for all parents involved.
Thank you for your cooperation and support.

Registration for Circle of Security (Lake County)

Check which class(es) you will be attending: *

ZOOM Class Series: Tuesdays from 6:00-8:00pm April 15, April 22, April 29, May 6, and May 13 I am interested in future IN-PERSON classes

I understand that photos and/or videos may be taken during the event. I give permission for these images of myself and my child(ren) to be used for promotional or documentation purposes by the event organizers without compensation. *

Yes No

Would you like to receive monthly newsletters sharing upcoming Families First programming in Lake County? *

Yes No

​Registration for Circle of Security (Lake County)

Registration for Circle of Security (Lake County)