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Stay Safe - Online Program

Student First Name *

Student Last name *

Student Birth Date *

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Parent Contact & Billing Information:

Parent First Name *

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Email *

Other Emergency Contact:

Emergency Contact name *

Phone *

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Special Needs or Considerations:

Program Interest *

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Name of class student is applying for: *

Currently enrolled in high school or post-secondary program? If yes, please list school: *

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Helpful Info

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Chapel Haven Programs

Chapel Haven Schleifer Center

Upcoming Events

Join us Saturday, Oct. 30 for our virtual open house

Join us for our first in-person open house since pandemic, set for Sept. 11

Seventh annual golf tournament coming up Sept. 28, register your foursome and join us!

Fill out this form to sign up for classes!

Fill out this form to sign up for classes!

Fill out this form to sign up for classes!

Fill out this form to sign up for classes!

Fill out this form to sign up!

Fill out this form to sign up!

Fill out this form to sign up!