Register for a Family Support Event
Which family support event(s) would you like to register for? ( you may choose multiple )
*
Proactive Parenting Support Group
Choose your Proactive Parenting Support Group date (if applicable, you may select multiple dates):
*
February 18, 2020 ~ 7 - 9pm, Bloomington Office
March 17, 2020 ~ 7 - 9pm, Stillwater Office
April 21, 2020 ~ 7 - 9pm, West St. Paul Office
May 19, 2020 ~ 7 - 9pm, West St. Paul Office
June 16, 2020 ~ 7 - 9pm, Stillwater Office
July 21, 2020 ~ 7 - 9pm, West St. Paul Office
August 18, 2020 ~ 7 - 9pm, West St. Paul Office
September 15, 2020 ~ 7 - 9pm, Stillwater Office
October 20, 2020 ~ 7 - 9pm, West St. Paul Office
November 17, 2020 ~ 7 - 9pm, West St. Paul
How many will be attending this event?
*
1
2
3
4
5
6
Adult First Name
*
Adult Last Name
*
Additional Adult Name
First Name
Last Name
Child 1
First Name
Last Name
Select One
Adopted Child
Foster Child
Non-Adopted/Foster Child
Grade
Kindergarten
First
Second
Third
Fourth
Fifth
Child 2
First Name
Last Name
Select One
Adopted Child
Foster Child
Non-Adopted/Foster Child
Grade
Kindergarten
First
Second
Third
Fourth
Fifth
Child 3
First Name
Last Name
Select One
Adopted Child
Foster Child
Non-Adopted/Foster Child
Grade
Kindergarten
First
Second
Third
Fourth
Fifth
Child 4
First Name
Last Name
Select One
Adopted Child
Foster Child
Non-Adopted/Foster Child
Grade
Kindergarten
First
Second
Third
Fourth
Fifth
E-mail
*
Phone
Address
City
State
*
Zip
*
How did you hear about EVOLVE?
*
Referral by friend/family member
Social Network Site (Facebook, Pinterest, etc)
Internet Search (Google, Yahoo, etc)
Met an EVOLVE Staff Member at an event
Received a Mailing
MN DHS Website
Other
Payment is only required for non-EVOLVE clients.
Are you an EVOLVE Client?
Yes
No
My Products
Non-Client Charge
$
10.00
Total
$
0.00
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