Strengthening Families Program 10-14 Registration Form - Beginning January 10, 2024, at the JCC Rec Center
**WE ARE ON A WAITLIST** Please register, and we will let you know after the first session if there is room to join us beginning on Wednesday, January 17th. Thanks!!

 The Strengthening Families Program 10-14 is a FREE multi-week program hosted by Bacon Street Youth and Family Services. We will meet from 5:30 - 7:30/8pm at the JCC Rec Center located at 5301 Longhill Road on the following dates:

Wednesdays, January 10, 17, 24, 31 and February 7, 14, 21

Dinner's on us! We'll serve families dinner every week from 5:30pm - 6pm before the program begins.

Childcare is available to youth under 10 years of age.

Space is limited, so register NOW! 

Please contact our Prevention Director, Allison Jarvis, at 757-253-0111 x 201 or ajarvis@baconstreet.org with any questions.
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Email *
Contact number with area code *
Contact method preference (check all that apply): *
Required
Parent / Caregiver (First, Last Name ) *
Mailing address, city, state, zip code for Parent / Caregiver *
Additional Parent / Caregiver (First, Last Name)
Contact number with area code for Additional Parent/Caregiver
Mailing address for Additional Parent / Caregiver, if different than above
Names & ages of youth attending this program. At least 1 youth must be between the ages of 10-14. *
Will you require childcare for children under 10? If so, please list their names and ages.  *
Food allergies for any family members *
Anything you would like to add:
A copy of your responses will be emailed to the address you provided.
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