Class Registration

Advanced Parenting Concepts (APC) 719-265-6076

Registration Form

-$15.00

$130.00

$85.00

Method of Payment

Please see informational flyer that was sent home with your child or posted in your bulletin for pricing, or contact us for specifics.

1. Set up a free, personal account (required for your protection—takes 3-5 minutes)

2. Click “Send Payment” button

3. Enter email address: Info@advancedparentingconcepts.com

4. Enter payment amount in dollars: ($85.00, for example)

5. Select Category of Purchase: Service

6. Enter credit card information and complete transaction.

7. Return to this page and click the “Submit” button below. Registration is not completed until the “Submit” button is clicked.

‡ Checks may be made out to “Leah Wells” and may be mailed with/without a copy of registration form to:

APC

Attn: Leah Wells

6275 Soaring Drive

Colorado Springs, CO

80918

Click here to email us, or call us at 719-265-6076

Thank you for your interest!

Start Date of Desired Class

Name of Host If Home Party

State:

E-mail:

How did you hear about us?

Total

Name:

Address:

City:

Zip Code:

Phone:

Leah Wells, Owner & Independent Facilitator

Phone: 719-265-6076

To contact us: