Safe Dates Workshops Info & Registration

The PHILADELPHIA BLACK WOMEN'S HEALTH ALLIANCE provides virtual and face-to-face SAFE DATES workshops to empower teens 12 to 19 to recognize dating violence indicators and make decisions that lead to healthy relationships. SAFE DATES also equips students with the skills and resources to help themselves or their friends in abusive dating relationships.

The SAFE DATES curriculum helps the students explore the roles of technology and social media in teen dating and practice positive communication and conflict-resolution skills.

For information on hosting or registering for the SAFE DATES workshops, complete this Workshop Info & Registration form.

Sign in to Google to save your progress. Learn more
Email *
Don't Be a Statistic 

Dating violence is physical, sexual, emotional, or verbal abuse from a romantic or sexual partner.

  • 1 in 11 female and 1 in 15 male high school students experienced physical dating violence.
  • 1 in 9 female and 1 in 36 male high school students experienced sexual dating violence.
  • Teens who identify as LGBTQ or those unsure of their gender identity experience higher rates of physical and sexual dating violence compared to teens who identify as heterosexual.

For emergency and non-emergency referrals to teen dating abuse and domestic violence resources in your area, Text LOVEIS to 22522 or 866-331-9474, or Call 866-331-9474

Please send me information for the following:
Clear selection
Name *
Telephone number 
Age Range? *
Zip Code *
We will keep your availability in mind when planning future classes.  What schedule works best for you?  (Select all that apply)
Between 9 am and 11am
Between 12 pm and 3 pm
Between 4 pm and 6 pm
How did you hear about the workshop?
Clear selection
For the word-of-mouth referral, please provide the name of the person who referred you. 
Comments / Questions
Clear form
Never submit passwords through Google Forms.
This form was created inside of Philadelphia Black Women's Health Alliance. Report Abuse