* 1. Please provide you name:

2. Please provide your email address (optional):

* 3. Which workshop(s) do you plan to attend? (check all that apply)

* 4. Which District do your children attend (Check all that apply)?

* 5. To which grade level(s), do you children now attend (check all that apply)?

6. Do you have any suggestions for other topics of interest for you or other parent you know?

7. The YMCA will provide childcare for interested parents. If you plan to take advantage of it, please indicate how many children you plan to attend.