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Pathways Katipunan Parenting Course 2024 Pre-Registration Form

1.Names:(Required.)
2.Status
3.Email addresses(Required.)
4.Contact Number (preferably mobile)(Required.)
5.Birthdate (MM/DD/YYYY) - Optional
6.Age(Required.)
7.Occupation
8.City of Residence(Required.)
9.How did you find out about this seminar (check all that apply)
10.The organizers of this parenting course will prepare a separate room for those who wish to attend but will need to bring their children along.  Other members of the team will be assigned to look after the children in the said room while their parents are attending the entire talk.

In order for us to prepare for this, kindly let us know if you are likely to bring your young children.  Please answer with: 1) how many, 2) their ages, 3) their genders and 4) whatever pertinent details we need to know in order to care for them better (like allergies, special needs, etc.)

(If you are not bringing children, simply leave the box below blank)
11.To help us prepare better for this seminar content-wise, we would like to have a profile of the ages of the all children of our potential audience.  Kindly answer each box with the number of kids you have per age range.  (If you have no children in the specified age range, please enter "0".)(Required.)
Thank you and we look forward to meeting you on March 9. We will keep you posted on the venue.