SPECIAL
TEXAS ALCOHOL EDUCATION
PROGRAM FOR MINORS

SPECIAL 
January 18 & 19, 2010 CLASS

All sessions 
below must be attended.

 
2:30 p.m. - 5:30 p.m.

Monday, Jan. 18, 2010
Tuesday, Jan. 19, 2010


$ 89
Pays for reserved seat, six hours of class, materials and certificate of 
completion


After paying, register below.

All sessions are conducted at our 
Coit & Beltline office. 
See home for map.


REGISTRATION
Complete and sign forms.

 


PAYMENT
Advance payment required to reserve place in class.


OPTIONS

You fill out forms online, print and mail them to us, per  instructions below. 

ONLY ONE PAYMENT OPTION:

Pay with credit card online above. 
This is the only payment option for our 
special class. 

HappyMe.com
Bourland Mental Health
101 South Coit Road
Suite 212
Richardson, TX 75080

*pays for eight hours of class,
 materials and certificate of completion

<<< Complete registration per instructions on left.



INSTRUCTIONS

Fill out registration forms online,
print, sign & mail them to us.

To fill out and print online forms, you will need the free Adobe Acrobat Reader to open our PDF files. If you do not have the free Adobe Reader software installed on your computer, you can click on this logo to get it:

STEP 1:  Fill out and print the Registration form: CLICK HERE. There is a drop down menu on the form with which you can select one of the above referenced class dates.
STEP 2: Fill out and print the Orientation form: CLICK HERE.
STEP 3: Print the Parent Consent form:
CLICK HERE
.
STEP 4: Print the Participant Assent form:
CLICK HERE
.
STEP 5: Mail all forms to the HappyMe.com address above.

Prepay fee to reserve your place in class.

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