FACES - Registration Form - Littleton

Orientation and Regulations will be held at: Littleton DCYF District Office, 80 North Littleton Rd., Littleton, NH 03561

 

The remaining courses will be held at Littleton Community Center, 120 Main St., Littleton, NH 03561

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)

*NOTE: Shared email addresses are not allowed. Please use a unique email address for each registration*

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)

If you have a disability which may require special services, please check here.

Please explain your accommodation needs.

(required)

FACES - Littleton Series

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

Orientation - 9/25

Tuesday 5:00pm-8:00pm

Regulations - 10/2

Tuesday 5:00pm-8:00pm

 

The Developing Child - 10/15

Monday 5:30pm-8:30pm

The Effects of Childhood Trauma - 10/29

Monday 5:30pm-8:30pm

Experiencing Grief and Loss - 11/5

Monday 5:30pm-8:30pm

Promoting Positive Behavior - 11/19

Monday 5:30pm-8:30pm

Lifelong Connections - 11/26

Monday 5:30pm-8:30pm

By submitting your registration, you have agreed to allow the Education &Training Partnership to share your course participation and completion information with the New Hampshire Division for Children Youth & Families (DCYF).

Payment Options