Paving a Path to Success registration

Child first and last name

Child age

Child's Birthday

Which event are you signing up for:

Saturday November 2, 12:00pm-3:00pm. Ages 6-10

Tuesday November 5, 9:00am-12:00pm. Ages 6-10

Tuesday November 5, 12:30-3:30pm. Ages 11 & up

Friday November 15, 5:00-8:00pm. Ages 9 & up

Please let us know if there are any struggles your child is currently facing and/or areas you think they need guidance and encouragement with. THIS INFORMATION IS CONFIDENTIAL. It helps us plan and cater to the group.

Parent/guardian first and last name

Parent/guardian phone

Parent/guardian email

Client forms

Paving a Path to Success registration form

Paving a Path to Success registration

Contact