SINGLE PARENTS OF POWER

Once you submit your online registration form, please look for an email from Single Parents of Power within 48 hours.

Additionally, if you have questions or concerns, please EMAIL singleparentsofpower101@gmail.com.      DO NOT CALL.


Client Pre-Enrollment Form

Please fill out ALL information below if applicable. This will help our agency to better assist you.

Gender



Services Requested











Primary Language




Do you have Medi-Cal, HealthNet, or LA Care? (BE AWARE: Classes are FREE if you have straight Medi-Cal or LA Care. Otherwise you will be charged a $50 fee per session. Once again: We ONLY accept straight Medi-Cal or LA Care insurance)



Our registration fee is $50.00 per class. However, if you are unable to pay the registration fee at this time, we do offer a payment plan. Would you be interested in a registration fee payment plan?



After pressing submit, you will receive a follow up email within 48 hours from Single Parents of Power. Please make sure your email address is correct and thank you for registering with Single Parents of Power!