Circle of Security

Parenting Course Registration Form
Circle of Security

Relationship-based programme supportingparents to understand children’s emotional needs and strengthen attachment.0–8yrs | 8 × 1.5–2 hr sessions
Name

First NameLast Name
Email Address
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
Why are you interest in the course (600 words or less)
Tells us about your situation i.e. wanting to learn more, improve understanding of child development, working with Social Workers, ordered by court etc
What are your top 5 expectations in completing this course? (300 words or less)
If you have been asked to attend this course via CAMHS/ Court/ Social Worker - please provide any documents or court instructions / relevant documentation

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Any other relevant information you would like to attach?

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Course Selection

Stepping Stones Triple P£785.00

Facilitation Option
Item subtotal:

Premium Service£199.00

up to x3 Support Calls Letter / Report

Total £0.00

Parenting Course Registration Form