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Mission, Vision & Values

Job Opportunities

Member Agencies

Member Profiles

(PEP) Class Calendar

Screening Connecticut's Youth (SCY)

Victims of Crime Act (VOCA) Program

Parenting Education Program (PEP)

TANF Case Management Program

For Your Information Blog

Public Policy & Legislative Agenda

Staff Training and Development

Family Champions

English

Mission, Vision & Values

Job Opportunities

Folder: Member Agencies

Member Profiles

Folder: Programs

(PEP) Class Calendar

Screening Connecticut's Youth (SCY)

Victims of Crime Act (VOCA) Program

Parenting Education Program (PEP)

TANF Case Management Program

Folder: Resources

For Your Information Blog

Public Policy & Legislative Agenda

Staff Training and Development

Family Champions

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Norwalk/CCFC

Thursday, January 4, 2018
6:00 PM 9:00 PM

Catholic Charities of Fairfield County 120 East Avenue Norwalk, CT, 06851 United States (map)

Google Calendar ICS

Parent Education Program Class

Call with Questions

Inquire by Email

PEP Registration

Name *

First Name

Last Name

Email Address *

Street Address *

Apartment or Unit #

City/Town *

If you are not a Connecticut resident, please use the "Inquire by Email" button.

Zip Code *

Phone *

(###)

###

####

How did you hear about this class? *

The fee for the class is $150. How will you be paying for the class? *

I will bring $150 in cash or money order to the class.

I will send a $150 check one week prior to my class.

I will bring a signed copy of my court fee waiver form to the class.

Is there anyone who you do NOT want to attend the same class as you? *

You have the right to attend the class together or separate from any individual.

I do not want a specific person attending the same class as me.

I have no preferences who attends the same class as me.

If you do not want a specific person attending the class with you, include his/her name.

Have there been any safety concerns or domestic violence issues between you and your child(ren)'s other parent? *

Yes, there have been safety concerns or domestic violence issues.

No, there have not been safety concerns or domestic violence issues.

If YES, please explain.

Are there currently any active restraining orders, protective orders or no contact orders for either parent? *

Yes, there are restraining/protective/no-contact orders.

No, there are not any restraining/protective/no-contact orders.

If YES, provide the type of order and the first AND last name of all individuals in the order.

Would you like to bring an adult guest with you to class? *

You are welcome to bring an adult guest (over 21 years of age) with you to the class, free of charge. Your guest may NOT be another adult who is ordered to take the class NOR can it be one of your own children.

If YES, please provide your guest's name.

Do you have any special needs to assist you in attending the class? *

If YES, please describe your needs and how we can best meet them.

By checking this box, you agree that you have read and understand the statement below. *

I understand that filling out this form does not guarantee me a spot in any specific Parent Education Class. If the organization is able to accommodate my request, I will receive an email confirming that I am registered for the desired class. If the requested class is not available, I will be provided with alternative classes by phone or email.

I agree

Tagged: CCFC

Rocky Hill/CCAOH

Connecticut Council of Family Service Agencies
35 Cold Spring Road
Building 400, Suite 411
Rocky Hill, CT 06067

CONTACT US: TOLL FREE 1-800-505-9000 LOCAL (860)571-0093 FAX (860)571-0118

EMAIL INFO@CTFSA.ORG