PEP Test

Below is the form that would replace the current registration form. Payment appears after the form is completed.

PEP Event Registration


Important: Your registration for this event is not complete until the payment portion has been completed. Please contact Kay Starks at or 860-832-5756 with your name and phone number to complete your registration and confirm your seat in the class. If you have a fee waiver please email for the waiver code.

You have the right to attend the class together or separate from any individual. Is there anyone who you do NOT want to attend the same class as you?(Required)
Have there been any safety concerns or domestic violence issues between you and your child(ren)’s other parent?(Required)
Are there currently any active restraining orders, protective orders or no contact orders for either parent?(Required)
Do you need a class taught in Spanish? / ¿Le llamaremos para registrarle?(Required)
Do you have any special needs to assist you in attending the class?(Required)
This field is for validation purposes and should be left unchanged.