Families Count at Miracle Hill Family Ministry Center | September-October, 2025| Greenville, SC
The Miracle Hill Family Ministry Center will offer this seven-week session of parent-education from Families Count in support of parents in need. Jackie Rector, Family Strengthening Program Manager, will be in touch with the registrants soon to confirm registration and discuss any childcare details and answer any questions.  

Details:
Every Tuesday Night for 7 weeks September 16th - October 28th
5:15pm-8:00pm

Address:
15 Regency Hill Drive
Greenville, SC 29607

Food:
Dinner will be provided for participants and children.

Childcare:
Childcare is available for this class. You will be required to complete the below questions, and you will be contacted by one of our facilitators prior to the class.
Thank you! 
Sign in to Google to save your progress. Learn more
Email *
Name /Title of person completing this form (if not caseworker)
Caseworker's Name *
Caseworker's Email *
Caseworker's Phone *
Participant Name (First, Last) *
Participant Email *
Participant Phone *
Participant's child(ren) is/are currently: *
Please share a little more about this family's dynamics and situation, so that we are equipped to host them through our class.  (i.e., are there any children with special needs, are there any children in DSS’ care? If so, why? DSSCM contact information, parent's goals for taking a parenting class, parental relationship) *
Will the participant need childcare? 

If yes, please fill out the following questions with each child's information.

*
Child 1: Name / age / relationship to participant / allergies or special needs 
Child 2: Name / age / relationship to participant / allergies or special needs 
Child 3: Name / age / relationship to participant / allergies or special needs 
Child 4: Name / age / relationship to participant / allergies or special needs 
Child 5: Name / age / relationship to participant / allergies or special needs 
Participant will need transportation.
*
If transportation needed, what is their current address?
Any additional information that could be helpful?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report