Divorce Recovery Workshop Registration

Use the form below to send us your registration for the Divorce Recovery Workshop.

Divorce Recovery Workshop
March 5th & 6th, 2010
Friday - 7 to 9 PM (Adult Session Only)
Saturday - 9 AM to approx. 4 PM (Adult & Children Sessions)
Cost:
Adults - $40 (lunch included on Saturday)
Children 3rd - 6th grade: $10 per child (Sat. only with lunch)
Childcare 0 - 2nd grade: $10 per child (Sat. only with lunch)

Your Name*:
Your Email*:
Address:
City:
State:
Zip:
Phone Number:
Are you registering children for this event (birth through 6th grade)?
Yes
No
Names and Ages of Children being registered?
 
* Required Fields