FACES - Registration Form - Dover

All classes are being held at:

Community Action Partnership of Strafford County

Bradley Commons Building- 577 Central Ave, Suite 10, Dover, NH 03820

Parking on street or in rear of building.  Use Central Ave. entrance.

        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)

A valid *HOME* MAILING ADDRESS is 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)

FACES - Dover Series

This event is full. Please check the box below if you would like to be added to the wait list. Thank you.

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

Check here to be added to the wait list.

Orientation - 2/19

Tuesday, 6:00pm-9:00pm

Regulations - 4/2

Tuesday, 6:00pm-9:00pm

The Developing Child - 2/26

Tuesday, 6:00pm-9:00pm

The Effects of Childhood Trauma - 3/5

Tuesday, 6:00pm-9:00pm

Experiencing Grief & Loss -3/12

Tuesday, 6:00pm-9:00pm

Promoting Positive Behavior - 3/19

Tuesday, 6:00pm-9:00pm

Lifelong Connections -3/26

Tuesday, 6:00pm-9:00pm

 

Payment Options