Registration - Step 1
Step 1: Personal Information

During this process NO field is required. If the information doesn't apply to your family just move on to the next question. The course fees are as follows: $350 per individual, or $595 per couple.

Graduates of the RCB course are invited to retake the course for $200 or join the once monthly graduate group for $250 for six months. Please fill out contact info portion to register and proceed to payment. Thank you.

Applicants E-Mail Address:

Parent A's E-Mail Address: 

Parent B's E-Mail Address: 

Parent A's Information:

Full Name: 
Address:    
City:            State:  Zip: 

Phone #:   
Alternate Phone #: 

Parent B's Information:

Full Name: 
Address:    
City:           State:  Zip: 

Phone #:   
Alternate Phone #: 

1. How many children were in your family when you were growing up?

Answer:
Parent A:   Parent B:

2. What were you in the birth order?

Answer:

Parent A:   Parent B:

3. What was your role in the family? Were you the "good" child, sports star, troublemaker, the brains, the clown, etc.?

Answer:

Parent A:


Parent B:

4. What discipline methods did your parents generally use?

Answer:

Parent A:


Parent B:

5. Describe a time when you were disciplined as a child. Describe how you felt.

Answer:

Parent A:


Parent B:

6. What discipline methods do you use with your child/children? What is your child's reaction to these methods?

Answer:

Parent A:


Parent B:

7. List three specific things that you would like to gain from taking this course.

Answer:

Parent A:


Parent B:

8. Please list your children's names, ages, grade in school and any information that might be helpful to your instructor.

Answer:

Parent A:


Parent B:

Upon clicking 'Continue', you are agreeing to receive email communications from me about course information.