Community Group 2016 Registration
 
Community Group 2016 Registration
Thank you for considering one of our many community groups that we offer at Willowbrook. Please complete the form below and one of our facilitators will contact you shortly!
First Name  * 
Last Name  * 
Your Email Address  * 
Phone contact  * 
Please enter your birthdate: (day/month/year)  * 
Preferred night for you:  * 
I am in need of childcare:  * 
* Please note that childcare is offered on Tuesdays and Thursdays only. In addition, there is a fee for the evening (per-child). Please ask the facilitator for additional info.
I have a particular friend that I would like to be with in my community group. (Please write their name in this space if you desire)
 
 
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