Young Parent Conference 2022
Rise Above & Beyond!

FREE EVENT!
Register to spend a day focused on you and your child
Join guest presenters and gain valuable information on parenting and more
Get to know your community resources
Win Raffle Prizes!

In-Person at Fox Valley Technical College

Friday, May 6, 2022

8:30 am to 2:30 pm

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* 1. Contact Information:

First & Last Name:

Name of School You Attend (if currently in school):

Street Address:

City:

State:

ZIP Code:

County of Residence:

Email Address:

Phone Number:

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* 2. Your Age May of 2022

26 or older

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* 3. Current Status (check ALL that apply)

Pregnant Mother

Expectant Father

Have a child under 1

Have a 1 year old

Have a 2 year old

Have a 3 year old

Have a child 4 or over

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* 4. Child 1: Diaper Size (by May 7)

Newborn

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* 5. Child 2: Diaper Size (by May 7)

Newborn

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* 6. Have you attended the Young Parent Conference before?

Yes

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* 7. Where did you hear about the conference?

Facebook

Parent Connection

High School Counselor

County Social Worker

Fox Valley Technical College

Hospital

Doctor

B.A.B.E.S.

Friends

Previously attended

Other

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* 8. If 17 or younger, you may want an adult support with you (parent, guardian, adult family member, school counselor or social worker).

Full Name of Adult Support & Relationship to you:
(Adult Supporter does not need to register)

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* 9. You are welcomed to bring a guest other than an adult support. (Do you plan to have another person join you?)

Yes

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* 10. Full Name of guest other than adult support:

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* 11. What can you expect the day of the conference?

You will receive information through email about the day, where to join us, guest presenters, their topics and a schedule. We will try to mail this information to you if time allows.

Please join us on-time so you can enjoy breakfast & do not miss anything.

There will be 5 Speaker Sessions. You get to choose between 2 Speaker Topics for each Session!

There is a short break between each Speaker Session to use the restroom & get to your next Speaker Session.

Enjoy a FREE lunch! During lunch break there is a Resource Fair! Take advantage of the community resources sharing information for you!

At the end of the event, we will gather together to draw for Raffle Prizes!

Must participate throughout the conference to qualify!

Must be present to win!

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

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* 12.
Contact us with questions, or leave comments & questions in the box below:

Jen DiMatteo, Parent Connection
jdimatteo@familyservicesnew.org
(920) 739-4226 ext. 109

We are looking forward to sharing the Young Parent Conference with you!

Thank you!

Young Parent Conference 2022 Rise Above & Beyond!

Question Title

* 1. Contact Information:

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* 2. Your Age May of 2022

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* 3. Current Status (check ALL that apply)

Question Title

* 4. Child 1: Diaper Size (by May 7)

Question Title

* 5. Child 2: Diaper Size (by May 7)

Question Title

* 6. Have you attended the Young Parent Conference before?

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* 7. Where did you hear about the conference?

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* 8. If 17 or younger, you may want an adult support with you (parent, guardian, adult family member, school counselor or social worker). Full Name of Adult Support & Relationship to you:(Adult Supporter does not need to register)

Question Title

* 9. You are welcomed to bring a guest other than an adult support. (Do you plan to have another person join you?)

Question Title

* 10. Full Name of guest other than adult support:

Question Title

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* 12. Contact us with questions, or leave comments & questions in the box below:Jen DiMatteo, Parent Connectionjdimatteo@familyservicesnew.org(920) 739-4226 ext. 109We are looking forward to sharing the Young Parent Conference with you!Thank you!

Young Parent Conference 2022
Rise Above & Beyond!

* 8. If 17 or younger, you may want an adult support with you (parent, guardian, adult family member, school counselor or social worker).

Full Name of Adult Support & Relationship to you:
(Adult Supporter does not need to register)

* 12.
Contact us with questions, or leave comments & questions in the box below:

Jen DiMatteo, Parent Connection
jdimatteo@familyservicesnew.org
(920) 739-4226 ext. 109

We are looking forward to sharing the Young Parent Conference with you!

Thank you!