PARENTING CHOICES™
REGISTRATION INFORMATION

BEGINNIG JULY 1, ALL WORKSHOPS WILL BE HELD AT OUR NEW LOCATION: 201 Shannon Oaks Circle, Suite 200, Cary, NC 27511 - off of Kildaire Farm Rd, near the intersection of Kildaire Farm Rd and Cary Parkway, behind the Chili's Restaurant.

Please read the following important information prior to registering for the workshop.

In order to guarantee your place in the workshop, you must register and make payment in advanced. Children are not allowed to attend the workshop. Both parents are not allowed to attend the workshop together, so please be sure to include the other parent’s name on your registration form.

Refunds, minus a $15 administration fee, will be made if notice of cancellation is received at least 8 days prior to the workshop. No refunds can be made after that point. Registrations will be entered in the order they are received. If your first choice is full, or the other parent has already registered for that date, you will be notified by email. Your registration will be confirmed via email. Please note that both payment and a completed registration form must be submitted to guarantee your place in the workshop.

Please complete the registration form below. Once submitted, the payment information page will appear. Please follow the instructions and submit payment using your credit card. We process payments with Paypal and accept Visa, Mastercard, Discover, American Express and Bank Transfer via Paypal.  Please note there is a $1.75 fee imposed by Paypal for using this service, thus your total charge will be $51.75. We will automatically be notified of your payment.

Registration confirmation from us, will be sent to the email address you provide on your registration form within 48 hours (with the exception of weekends and holidays).

DATE OF WORKSHOP YOU ARE REGISTERING FOR:
1st Choice: 
   
2nd Choice:
  *
CASE #:
  *
FULL NAME:
  *
EMAIL ADDRESS:
  *
ADDRESS:
  *
 
City
State
Zip Code
HOME PHONE:
 
*
CELL PHONE:
 
 
WORK PHONE:
 
 
FULL NAME OF OTHER PARENT:
  *
CITY AND STATE WHERE OTHER PARENT RESIDES:
  *
* Required Fields

If you do not have a case or file number, enter "none". Thank you and we look forward to your participation.


Last Updated Friday, July 18 2008 @ 01:27 PM EDT; 3,746 Hits View Printable Version

 

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Lewis Consulting Services, PA
201 Shannon Oaks Circle, Suite 200
Cary, NC 27511

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