Adoption Connection Club Registration

How to Register

Please use the form below for each child you would like to register. The fee for the program is $150 per child enrolled. You will be invoiced for this amount upon receipt of the registration form. Expect a digital invoice generated through QuickBooks online. The information provided on this form will be kept confidential and will help us tailor the program to fit your child(ren)’s needs.

Home Address(Required)
Please rank the following on scale of 1-10, with 1 being least important and 10 being the most important for your child:
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.
Would you ever be interested in participating in adoption eduction seminars?(Required)
Would you be interested in participating in an adoptive parent support group?(Required)
This field is for validation purposes and should be left unchanged.
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