PARENTING FROM THE HEART

Create the Family of your Dreams!

ENROLLMENT FORM

Your Name (s)
Your Email:
Your Phone: (best number to be reached)
Your Address:
Your City:
Your State:
Your Zip:
Kid's Names and Ages:
Course Dates:
Course Location:
Referred By:

 
This form is to be completed AFTER PAYMENT of this course has been completed either through purchase online on our website or by check.

If you choose to cancel prior to the beginning of the course your tuition is transferable to a future course or parent coaching. If you want your tuition refunded it will be returned minus a $50 processing fee.

This course is guaranteed. Complete each session, and if your not 100% satisfied, your entire tuition will be returned with no questions asked.

The Parenting From The Heart Course is educational; it is not intended to be a substitute for family counseling or psychotherapy.

You must agree to the terms of this agreement:
I agreeI do not agree

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