Kid Esteem Center for Social Learning and Creative Arts Therapy

354 Veterans Highway
Suite 6 Lower Level

Commack NY 11725

631 321 6675

kidesteem@aol.com

 

Printable Registration Form

Click here to open registration form
web site reg.doc
Microsoft Word document [15.0 KB]

You can open and print out this registration form, fill it out and mail it in with payment, or, contact us with your name and home address to receive a brochure and registration form in the mail.

We will contact you and confirm after we receive your registration.

Take 10% off if you previously attended groups or if you are signing up with another new person!

Print Print | Sitemap
© Kid Esteem