Single Parent Alliance & Resource Center

Proud Member of the Gwinnett Chamber of Commerce

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It only takes a SPARC to ignite the flame of change.

Fundraising Goal:

school fundraisers
     
 
 
Latest SPARC News

   
SPARC News

We invite you to participate in our first Single Parent & Healthy Family Conference! Click here for more details.

   
SPARC News
Stressed out? Overwhelmed? Tired of sitting in the house? Join us for Single Parent Happy Hour!! Click here for more details.
   
SPARC News
SPARC wants you to join its A.R.M.Y. Become a mentor for SPARC's Got Boys A.R.M.Y. MP. Click here for more!.
   
SPARC News
If you are a single mother raising sons, this is the program for you! Click here for more info!
  ... or click here to register now!
   
SPARC News
Are you a single parent? Do you know someone who is? Join us for SingleParent411! Click here for more info!
  ... or click here to register now!
 
Make Your Voice Heard!

Single Parents! Got Answers? Need Some? Check out the SingleParent411 Blog! Get advice, post comments, and ask questions. We DO respond!

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Single Parent & Healthy Family Conference 2011 Registration

PARENT INFORMATION
Last Name:
First Name:
Street Address:
City:
State:
Zipcode:
Email:
Home Phone:
Cell Phone:
   
CHILD 1 INFORMATION
Last Name:
First Name:
Street Address:
City:
State:
Zipcode:
Age:
   
CHILD 2 INFORMATION
Last Name:
First Name:
Street Address:
City:
State:
Zipcode:
Age:
   
CHILD 3 INFORMATION
Last Name:
First Name:
Street Address:
City:
State:
Zipcode:
Age:
   

WAIVER AND RELEASE
I hereby WAIVE, RELEASE, and DISCHARGE Gwinnet Neighborhood Leadership Institute, its owners, officers, directors, employees, members, agents, assigns, legal representatives and successors, and all business associates and partners involved in the presentation of the above noted activity, from all liability for or by reason of any damage, loss or injury to person and property, even injury resulting in the death of the Releaser, which has been or may be sustained in consequence of the Releaser's participation in the activity and notwithstanding that such damage, loss or injury may have been caused solely or party by the negligence of the Release.

I agree
I do not agree

   

 

 

 
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