I am interested in: *

Healthy Relationships GS Patch Workshop ($30 pp)

Happiness Toolbox GS Badge Workshop ($30 pp)

National Charity League Mother/Daughter Workshop ($75 or group pricing)

National Charity League Workshop Other (group pricing)

Insight for Life course/journey: Your group - choose your own date/time (5 sessions total) ($350)

Private coaching session with Dr. Fallon www.thejoyfulparent.org

I have a unique situation, please contact me

Parent Name *

First Name

Last Name

Phone *

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Participant's Name *

Who will be attending the course?

First Name

Last Name

Participant's Date of Birth *

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