Strengthening Families Program (10-14) Registration
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 Butler Area School District)

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!


WHEN: 2 evenings per week starting Wed. Oct. 21st and Thurs. Oct. 22nd
Wednesday - Youth Session from 6-7pm
Thursday - Adult Session from 5:30-6:30pm
Thursday - 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) *
Youth Name *
Youth Age *
Additional Youth(s) Attending (provide name and age) *
Phone Number *
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?
Clear selection
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Keystone Wellness Programs. Report Abuse