Workshop Registration

CSKT Workshop Registration Form

* Indicates required field

Name *

First

Last

Phone *

Email *

Address *

Line 1

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City

State

Zip Code

Country

Do you have any special needs for learning in a classroom? *

If yes to the question above, please let us know how we can help. *

Which workshop are you registering for? *check all that apply *

July 26th: Teaching Cooperation, Kindness & Compassion in Young Kids August 23rd: Learning Disabilities and Helping Kids Thrive in School September 21st: Bullying, Peer Pressure & The Internet for Kids October 18th: Anger Management (15-19) November 22nd: Managing Emotions in Young Kids December 30th: Behavior and Development in Young Kids

Do you consent to photo release? *

By selecting yes, you are granting permission to Families First Learning Lab to take photos and/or videos of you for the purpose of publication, promotion, and/or advertising.

How did you hear about us? *

Childcare, 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. *

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

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