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Cumberland-Perry Drug & Alcohol Commission
Guiding Good Choices for Parents & Caregivers
Guiding Good Choices (GGC) is a
five-week program
for parents/caregivers with children ages 9-14.
Dates: Tuesdays from March 3-31, 2026 via Zoom
Time: 6:00-8:00 PM
The information gathered will only be used for communication purposes.
1.
Parent/Caregiver 1 Contact Information
(Required.)
First Name
Last Name
Email
Phone Number
2.
Parent/Caregiver 2 Contact Information (Optional)
First Name
Last Name
Email
Phone Number
3.
Please tell us the
First Name
and
Ages
of any other children ages 9-14.
Child 1 First Name, Age
Child 2 First Name, Age
Child 3 First Name, Age
Child 4 First Name, Age
4.
What is the best way to contact you (check all that apply)?
(Required.)
Text
Email
Phone Call
5.
Which of the following times would be most convenient for us to contact you (check all that apply)?
(Required.)
8:00 AM - Noon
Noon - 5:00 PM
5:00 PM - 8:00 PM
Other (please specify)
