Terri Couwehoven Sexuality 3 B's Bodies Boundaries Behavior Puberty

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I paid my amount in full
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I will be applying for a scholarship (which is a separate form on the About 3 B's of Sexuality page).

If you are requesting funding from your Regional Center, please check box and fill out following information:

By checking this box, I understand that if my Regional Center does not approve my registration I will be responsible for paying Club 21 in full for the registration fee.

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If you are using Self Determination funds, please fill out this information:

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Please fill out the following information:

Teen/young adult name

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Workshop(s) I will be attending:

Friday, July 29| Day 1 for Parents and Educators
Saturday, July 30 | Let's talk about puberty GIRLS (age 9-15)
Saturday, July 30 | Let's talk about puberty BOYS (age 9-15)
Saturday, July 30 |Don't Cross the Line: Relationships and Boundaries (high school & young adults)
Saturday, July 30 |Dating Basics (high school & young adults)

Puberty sessions are for parents and teens. Relationship and Dating workshops are for TEENS and YOUNG ADULTS ONLY.

Club 21 Member Registration

1 Club 21 Member + Teen/Young Adult | $300
2 Club 21 Members + Teen/Young Adult | $350

Non Member Registration

1 Non-member + Teen/Young Adult | $400
2 Non-Members + Teen/Young Adult | $450

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Registration

3 B's Registration

Para español, seleccione "Spanish" del menú por la parte arriba de la página

Contact Information

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Registration

3 B's Registration

Para español, seleccione "Spanish" del menú por la parte arriba de la página

Contact Information

Credit Card Information

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