Parent-Infant Guidance Orientation Parent-Infant Guidance Orientation Registration Please complete this form for Orientation nights at the Los Angeles RIE Center. All Orientations meet from 7:00-8:30 p.m. The cost of the Orientation is $30/family. I would like to register for the following orientation workshop night:*June 7July 5August 2Tuition Refund Policy*I understand and agree that my tuition for the Orientation is non-refundable. If I need to cancel, I may apply my tuition to any orientation within the next three months.Parent 1*FirstLastParent 2FirstLastAddress*Street AddressAddress Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZip CodeEmail*Cell Phone*Baby's date of birth or due date*MMDDYYYYHow did you hear about RIE? If you heard from a friend, please let us know their name so that we can thank them.*Please let us know if you would like to pay online or by check. If by check, please be sure to mail your payment so that it's received two weeks prior to the course start date.*I would like to pay by checkI would like to pay online after completing this form