Strengthening Families Program (10-14) Registration - Beaver County Spring 2021
Welcome to Strengthening Families 10-14! This is a program about showing love and setting limits.

WHO: Parents/caregivers and youth ages 10-14 (who reside in Beaver County but are not in the New Brighton, Rochester, or Aliquippa School Districts - there is a separate cohort for those districts)

WHAT: The Strengthening Families Program 10-14 is a FREE virtual family program where parents and youth will attend two evenings per week for seven weeks and have lots of fun together. They will learn ways to promote family bonding, keep the lines of family communication open, and use family strengths to solve problems together. Participants also receive childcare activities, funding for family dinner, fun family games and activities, and weekly prizes for both youth and adults!

WHERE: VIRTUAL via Zoom

WHEN: 2 evenings per week starting Monday, January 11th and Tuesday, January 12th, 2021
Monday - Youth Session from 5:30-6:30pm
Tuesday - Adult Session from 5:30-6:30pm
Tuesday - Family Session from 6:30-7:30pm

Please answer all required questions. A confirmation email will be sent to you when your registration is submitted.
Email address *
Parent/Caregiver Name(s) who will be attending *
Youth Name *
Youth Age *
Required
Additional Youth(s) who will be attending (provide name and age) *
Phone Number *
Does this phone number allow for text messages *
What school district does your child attend or do you live in? *
Home Address (for mailing/delivery of program materials) *
Will you and/or your child need any special accommodations (learning disabilities, etc)? *
Do you have other children younger than the age of 10 in which you would like materials to keep them occupied during program time frames? If so, please provide name(s), age(s), and other necessary information. *
Please provide any additional information necessary that will be important for us to know during the programming.
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Keystone Wellness Programs. Report Abuse