Staying Connected with Your Teen at Women's Health Resource Center - 9 Hanover St. Lebanon, NH
Registration for the 5 session Staying Connected with Your Teen parent/caregiver workshops on
Tuesdays, September 17, 24, October 1, 8, 15, 22 from 6:00 - 8:00 pm
Email address *
Phone number *
Your answer
Name, First and Last *
Your answer
Address *
Your answer
How did you hear about the program? *
Your answer
What are the age(s) of the child/children in your care?
Your answer
What is your relationship to the child/children that brings you to the program? For example, mother, aunt, grandparent, etc.
Your answer
How would you describe your preteen or teen? For example, "she is outgoing and involved in school."
Your answer
How would you describe your relationship? For example, "we have a good relationship overall but we rarely talk and our house is chaotic!"
Your answer
The program is intended for participants to attend all 5 sessions. Do you plan to attend all sessions? *
What do you hope to gain from the program? What concerns do you have about raising your teen?
Your answer
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