Registration for The Hold Me Tight® Let me Go Program

Congratulations on taking a step towards growing your relationship with your teen by attending The Hold Me Tight® Let me Go Program!

Please fill out all information to complete your registration and secure your spot in the program.

Please select the date of the Hold Me Tight® Let Me Go weekend you are registering for: *

First Name *

Last Name *

Title

Address 1 *

Address 2

City *

State *

Postal Code *

Home/Cell Phone *

Email Address *

How many people will be attending? *

Name of person(s) attending with you: *

Special Requirements: Please let us know if you have any dietary restrictions, such as vegetarian or gluten free needs, or any other special accommodations. We will strive to make sure you have everything you need to benefit from this program!

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