FACES - Lancaster Registration Form

All Clases being held at Weeks Medical Center in Lancaster

173 Middle St, Lancaster, NH 03584

        To register, complete the form below:

First Name:
(required)
Full Middle Name:
(If no middle name enter "none")
(required)
Last Name:
(required)
Date of Birth:
(Please use this format: mm/dd/yyyy)
(required)
Home mailing address:
(required)
City:
(required)
State:
(required)
Zip code:
(required)
Primary Telephone Number:
(Please use this format: xxx-xxx-xxxx)
(required)
Primary E-mail address:
(required)
Re-enter email address
(required)
I am:
(required)
Location of District Office
or name of Private Agency:
(required)
Location of District Office or
name of Private Agency:
(required)
Other (specify role):
(required)

FACES - Lancaster Series

Check the box next to each class you want to register for.

Orientation - 4/26/18

Thursday, 5:30pm-8:30pm

Regulations - 5/3/18

Thursday, 5:30pm-8:30pm

The Developing Child - 5/10/18

Thursday, 5:30pm-8:30pm

The Effects of Childhood Trauma - 5/17/18

Thursday, 5:30pm-8:30pm

Experiencing Grief & Loss - 5/24/18

Thursday, 5:30pm-8:30pm

Promoting Positive Behavior - 5/31/18

Thursday, 5:30pm-8:30pm

Lifelong Connections - 6/7/18

Thursday, 5:30pm-8:30pm

Payment Options