FACES - Registration Form - Keene

All classes will be held at The Salvation Army, 16 Roxbury Plaza, Keene, NH 03431

        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 - Keene Series

Please click the box next to each class you wish to attend.

Orientation - 7/18

Thursdsay, 5:30pm-8:30pm

Regulations - 7/25

Thursday, 5:30pm-8:30pm

The Developing Child - 8/1

Thursday, 5:30pm-8:30pm

The Effects of Childhood Trauma - 8/8

Thursday, 5:30pm-8:30pm

Experiencing Grief & Loss -8/15

Thursday, 5:30pm-8:30pm

Promoting Positive Behavior - 8/22

Thursday, 5:30pm-8:30pm

Lifelong Connections -8/29

Thursday, 5:30pm-8:30pm

 

Payment Options