Virtual Class Sign-Up Name* First Last Email* Phone*Please select each class that you would like to attend:*You must join the class by 5 minutes after its start time to receive credit for the class, and you must stay in the class for the full time that class is in session. Thursday, May 19th @ 2PM – Buying A Car (Life Skills) Monday, May 23rd @ 2PM – Smoking, Alcohol, Drugs & Pregnancy (Pregnancy) Thursday, May 26th @ 2PM – Career or Job? Planning For More (Life Skills) Have you ever received services as a client of FirstLook?* Yes No Have you previously attended FirstLook classes in-person or online?* Yes No Date of Birth* MM slash DD slash YYYY An email with the Google Meet link will automatically be sent to you once you submit this form. New Client IntakeBefore attending your first virtual class, you must complete a simple intake by phone at least 24 hours prior to the class.May a FirstLook representative contact you to complete intake by phone?* Yes No, I will call FirstLook at 469.778.7487 to complete my intake. CAPTCHA Δ
