*1.Name(s) of adults attending class(Required.)

*2.What ages are your children?(Required.)

*3.What would you most like to gain from this workshop?(Required.)

*4.What day of the week works best for you for a 2 hour session with a meal included? Check all that apply(Required.)

Saturday

Tuesday

Thursday

Friday

*5.What time of day works best for you? Check all that apply(Required.)

Afternoon, 4 pm to 6 pm

Evening, 5 pm to 7 pm

Evening, 6 pm to 8 pm

Morning, 10 am to Noon

Other (please specify)

*6.This workshop and support group is 5 weeks long. Can you commit to attending at least 4 out of the 5 weeks?(Required.)

7.We will provide a free meal at every class - any suggestions?

8.Anything else you would like to ask or comment on?