Workshop Registration

CSKT Workshop Registration Form

* Indicates required field

Name *

First

Last

Phone *

Email *

Address *

Line 1

Line 2

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. *

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.

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

May 22, 2023 (Pablo DHRD Building): Reading (0-4) June 26, 2023 (Pablo DHRD Building): Conflict (5-10) July 24, 2023 (Pablo DHRD Building): Discipline (11-14) August 28, 2023 (Pablo DHRD Building): Bullying (5-10)

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. *Not Applicable for Zoom Classes* *

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

Submit