Strengthening Families Program for Parents and Youth 10-14
This form is used to show interest in taking part in upcoming cycles for the Strengthening Families Programs for Parents and Youth 10-14.

The Strengthening Families Program Youth 10-14 has been featured in the Daily Hampshire Gazette. Click on the following link to learn more: http://www.gazettenet.com/Life/Easthampton-families-get-help-navigating-the-teen-years-751907

Questions about the program can be directed to coalition@epsd.us

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Which evenings work best for you? Note: optional dinner begins at 5:30pm, program runs 6-8pm *
Name of Caregiver(s) Participating *
Your answer
Email(s) for Caregiver(s) *
Your answer
Telephone Number(s) for Caregiver(s) *
Your answer
Best Way to Contact *
Home Address *
Your answer
Name(s) of Youth Participating. Include Age, Grade, and School *
Your answer
Names of Kids Needing Childcare. Include Ages *
Childcare is available on site
Your answer
Will You Be Attending Dinner Each Week? *
Do you have any food issues we should know about?
Your answer
Is There Anything Else That Would Be Helpful For Us To Know Before Starting The Program?
Your answer
How did you hear about the Strengthening Families Program 10-14? *
Your answer
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