Parenting Class Registration

Register For Parenting Class

Thank you for your interest in attending our Parenting Classes. We are excited to help you in this adventure of parenthood.

Along with this application you should receive a flyer further explaining the parenting classes.

Please Note You Can Only Register For a Class The Month Before It Starts

Mother's Name:

Date of Birth:

Phone Number:

Can Hope Center Call, ID, and Leave a Message?:

Have You Been to Hope Center For Services?:

If Yes, When?:

Ages of Other Children:

How Did You Hear About the Parenting Classes?:

What Do You Hope to Gain From the Parenting Classes?

Father's Name:

Date of Birth:

Phone Number:

Can Hope Center Call, ID, and Leave a Message?:

Have You Been to Hope Center For Services?:

If Yes, When?:

Ages of Other Children:

How Did You Hear About the Parenting Classes?:

What Do You Hope to Gain From the Parenting Classes?

The Baby's Due Date or Date of Birth:

If Known, Name and Sex of Baby:

Are You Expecting Multiples? If Yes, How Many?:

Upon completion of ALL FIVE PARENTING CLASSES, I would like to receive ONE of the Following:

Select The Month Of Classes You Are Registering For:

The Hope Center offers a crib & mattress OR an infant car seat to each family completing the Parenting Classes. This is to promote safe sleeping/travel options for infants. Although the Parenting Classes are geared towards expecting parents, parents of infants can also earn a crib. When a toddler/child is older, Hope Center reserves the right to evaluate the need for a crib/car seat. Each family will only be able to receive a crib/car seat one time with no time constraints.

If you are not in need of a crib/car seat and would just like to attend the parenting classes, then you are welcome to join us as well.

Please note: In order to receive a crib/car seat you must mark on the application that you need one.

You will be required to sign and date this form upon arrival.

Thank you! Your submission has been received!

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Parenting Class

Register For Parenting Class

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