By submitting this form, I confirm that I wish to attend Family for Keeps™ Professional Course, a Dream Housefor Medically Fragile Children Program.

I understand that classes begin promptly and by arriving more than 20 minutes past class time may result in a missed class.

I understand that the information, provided by the Dream House for Medically Fragile Children, Inc. Family forKeeps™ Program – Education and Skills Training, is basic.

The physician who oversees the care of the child(ren) is the authority. The physician’s advice and directions will be followed when providing care for any child.