Anger Management Class Contact Form

Thank you for choosing Be the Light!

Once you submit this initial information, an e-mail will be sent to you with the intake forms and payment options.
1.What is your first and last name?
2.Are you able to commit to the class - one hour a week for six weeks?
3.Have you been court-ordered to attend an anger management class?
4.At what email address would you like to be contacted?