Workshop Registration

Please register me for: (circle the date of the workshop you wish to attend):

     The Power of Play in Parenting                        April 3, 2010           

Successful Communication                             April 17, 2010

Divorce Sanity / Co-Parenting                          April 24, 2010

                                            Name(s)                                                                                                       Home Phone

                                     Mailing Address                                                                                                 Work Phone

                                   City, State, Zip  

            ***************************************************************

                    Print, then complete this form and mail to:

            CCD Counseling P.A. / 1512 Scripture / Denton, TX 76201

               Registration must be received seven days prior to the workshop.

               The workshops are free, but registration is still required, as space is limited.