Request Your Free Trial Class Today!

Please fill out the form below. Once your request is received we will be in contact with you

to confirm if there is a spot available in the class you requested. Requested trial class

time does not guarantee that specific class time will be available if membership is signed.

Parents must attend Trial Class.

Note: Must be a local resident.

Parent Name

First Name

Last Name

Date of Birth

(Parent)

MM

DD

YYYY

Email

Phone Number

(###)

###

####

Local City Name

Children's Names & Date of Birth

Empowering Parents Recipient

Are you a recipient of the Empowering Parents of Idaho program?

Yes

No

How did you hear about us?

Class Option

Please list below the day, time, and name of the class you would like to try.

Comments

Please list any other questions or concerns you may have.