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

How did you hear about this class?

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

If YES, please explain.

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.

Norwalk/CCFC

Parent Education Program Class

Norwalk/CCFC

Parent Education Program Class

Rocky Hill/CCAOH