Kid Esteem Center for Social Learning

175 S 11th St
Lindenhurst, NY 11757

631 321 6675

kidesteem@aol.com

 

Printable Registration Form

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!

Click here to open program registration form, which can then be printed.
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