Household Harmony™

where families come together™
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Pre-Registration 
 
Registration for the Summer 2008 Session is now open!
 
We'll be happy to reserve space for you in advance of receiving your payment; just please be sure to mail your check on the same day that you complete and submit this form in order to convert that tentative reservation into a guaranteed reservation.  We'll confirm your registration via e-mail once we receive your check made out to Household Harmony and mailed to 206 Martin Avenue, Pittsburgh, PA 15216. (This the only form of payment we accept.)
 
In the body of your message, please include:
 
  • Name(s), Gender(s) and Birthdate(s) of Child(ren) Registering
  • Name(s) of Adult(s) Attending with Child(ren)
  • Mailing Address
  • Additional Phone Number(s), if any
  • Second- and Third-Choice Day(s), Time(s) and Location(s), if applicable
 
  • How did you find us?
  • What interests you about the program?
  • If you could design the schedule, when would you choose to come together?
  • Is there anyone else you'd suggest we add to our mailing list? (please provide Email address)
 
* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message: