Contact Information
The Teen Girls Mommy & Me Program is designed for Teen Females that are either pregnant or at risk of becoming pregnant, at risk of dropping out of School due to pregnancy and lack of Support.For ages 12yrs - 18yrs of age. The program meets Bi-Monthly, We offer Life Skills Classes, Parenting Classes and GED Classes coming soon. Please select the class your wish to sign up for. If you are a Mental Health or Social Worker you can fill out the form for the Teen or contact us and we will sign her up.
First Name
Last Name
Address
Phone number
Emergency Phone number
Classes
Age
Parents First and Last Names
Grade
Middle/High School Attend (Name Only)
Have You Complete School?
Are You Currently Getting Your GED?
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