Parent-Child Classes Sign up | ctn-madison

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Register here for
"Improv for family fun and connection"

Parent's First Name

Parent's Last Name

Child's First Name

Child's Last Name

Child's Birthday

Email

Phone

Case Manager Name

Funding for class *

Private Pay

CLTS Funding

Case Manager E-mail

Anything else you would like us to know?

I agree to the following: * Required

I will bring one parent and one child

I am able to attend both nights of the class

I will alert CTN no later than 2 weeks prior to the class if I am unable to attend

I am commited to having fun and sharing joy with my child during this class :)

Thanks for registering. We will e-mail you 1 week prior to the class with more details!

639 Struck Street Madison, WI 53719 | 608-234-5990 | Fax: 608-819-6825 | Patient Portal

© 2021, Children's Therapy Network, LLC.

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