Transition to Fatherhood Workshop Registration

fall 2020

Step One: Submit the form below

Step Two: Please call Dr. Barajas at 510-969-0758 to discuss scheduling.

Transition to Fatherhood Workshop Registration Form

Name

First Name

Last Name

Mailing Address

Zip Code

Phone

(###)

###

####

Email Address

What is your child's due date?

YYYY

Is there anything else you'd like to share?

Cancellation policy:
If you cancel your registration 14 days in advance of the first day of the workshop, your workshop fee will be refunded minus a $25 administrative fee, or you can apply your workshop fee as a credit towards another workshop facilitated by Mark Barajas, PhD within 120 days. With less than 14 days notice, you will receive credit only if your spot can be filled from a waiting list. Mark Barajas reserves the right to cancel any workshop because of low enrollment; you will be notified and your workshop fee will be refunded.