FACES - Registration Form -  Concord Evening Series

All classes are being held at:

Granite State College 

25 Hall St. 

Concord, NH 03301

 

        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)

A valid MAILING ADDRESS is 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)

FACES - Concord Evening Series

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

Orientation - 10/11

Thursday, 5:30pm-8:30pm

The Developing Child-10/20

Saturday, 9:00am-12:00pm

The Effects of Childhood Trauma-10/20

Saturday- 12:30pm-3:30pm

Regulations- 10/25

Thursday, 5:30pm-8:30pm

Experiencing Grief and Loss- 11/8

Thursday-5:30pm-8:30pm

Promoting Positive Behavior - 11/15

Thursday- 5:30pm-8:30pm

Lifelong Connections -11/29

Thursday- 5:30pm-8:30pm

 

Payment Options