Register :: Family Matters P.A.C.T.

3703 N. MAIN STREET | ROCKFORD, IL 61103 | P: 815.877.7228 | F: 815.877.8172

Call P.A.C.T. at 815.877.7228 for class dates, fees and registration. Office hours are 8:00 a.m. to 1:00 p.m. Monday through Thursday (closed Friday). Classes are held during the week and Saturday mornings.

Class Location

Family Matters - P.A.C.T. Offices
3703 N. Main St.
Suite 111 (Lower Level)
Rockford, IL 61103

Walk-in registrations will not be accepted.

In the event you register for a class and are unable to attend, call Family Matters for the next available P.A.C.T. class. You will be notified of snow cancellations and new class date by phone.

Please do not bring children to the class.

Class Registration Form

Case Number: In County:

Case Type: You are the:

Contact Information

Name:
Address:
City: State: ZIP Code:
Work Phone: Ext.: Home Phone:
Name of other parent:
Number of children involved:

First Child

Name: Sex:
Date of birth:

Second Child

Name: Sex:
Date of birth:

Third Child

Name: Sex:
Date of birth:

Fourth Child

Name: Sex:
Date of birth:;

Fifth Child

Name: Sex:
Date of birth: