Please complete the form below to reserve your seat for a program.  
Once you submit the form a staff member will contact you.

Please be sure to register AND pay for your selection.

**All payments must be made in full 5 days prior to the start of the  
course.
Registration &                       
Payment
Participant Name:
Email address:
Phone number:
Comments:
Registration Form
The Joy Academy
P.O. Box 5011
Monroe, NC 28111
Ph: 704-283-2900 X201
Fax: 704-283-2977
Email:
GretchenLCSW@Yahoo.Com