| Name:* |
|
| Age: * |
|
| Gender: * |
|
| Telephone: * |
|
| Street Address: * |
|
| Zip Code: * |
|
| Emergency Contact: * |
|
| Telephone (if different than above): |
|
| Referred By: * |
|
| E-mail Address: * |
|
| How did you hear about us?: * |
|
| Comments: |
|
| Please select at least one: |
|
| |
August 3 (Money Management)
|
| |
August 10 (Safe Dating)
|
| |
August 17 (Back to School)
|
| |
August 24- No class
|
| |
August 31 (Anxiety/Stress)
|
| |
September 7 (Internet Safety)
|
| |
September 14 (Life Skills)
|
| |
September 21 (Drinking and Driving)
|
| |
September 28 (Sexting)
|
| |
October 5 (Job Readiness)
|
| |
October 12- No class
|
Life Skills Classes are held each Tuesday, from 4-5pm, at the Midtown Library on Central Street. Before submitting, pease print a copy of this calendar for your records.
Questions? Call 417-522-4654 |
