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Parent Support Program Class Registration Form

  1. APPLCANTS WILL BE AUTOMATICALLY ENROLLED IN THE NEXT AVAILABLE CLASS. COURSE LOCATION ALTERNATES BETWEEN XENIA AND FAIRBORN.

  2. WILL CHILDCARE BE REQUIRED:*

  3. NOTE:

    24 HOUR NOTICE FOR CANCELLATION OF CHILDCARE NEEDS IS REQUIRED TO REMAIN ELIGIBLE FOR CHILDCARE SERVICES.

  4. Leave This Blank:

  5. This field is not part of the form submission.