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

THIS SERIES IS FULL.  PLEASE CHECK THE BOX BELOW TO BE ADDED TO THE WAIT LIST.

Check this box to be added to the wait list for all remaining courses.

Orientation 6/20

Thursday, 5:30pm-8:30pm

Regulations- 5/23

Thursday, 5:30pm-8:30pm

The Developing Child 5/30

Thursday, 5:30pm-8:30pm

The Effects of Childhood Trauma 6/1

Saturday, 9:00am-12:00pm

Experiencing Grief and Loss- 6/1

Saturday, 12:30pm-3:30pm

Promoting Positive Behavior - 6/6

Thursday, 5:30pm-8:30pm

Lifelong Connections -6/13

Thursday, 5:30pm-8:30pm

 

Payment Options