Parent Empowerment! Parenting Classes Online Sign-Up

Thank you for connecting to FNC's Parenting Class Sign-up Survey.

We are currently enrolling parents and caregivers in this upcoming virtual parenting class:

Parenting Autistic Teenagers Mondays & Wednesdays 11am-12:15pm beginning March 6th, 2023

All classes meet for 12 sessions on Zoom. You may enroll in more than one class, as long as each class has a different theme.

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* 1. First and Last Name

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* 2. What is your preferred pronoun?

She/Her

He/Him

They/Them

Other (please specify)

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* 3. Are you a parent, expectant parent, or other caretaker of a child/children under 18 in Philadelphia?

Yes

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* 4. Please enter your phone number:

Phone Number

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* 5. If you have an email address, enter it here:

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* 6. To participate in the class, you will have to download the Zoom app on your phone, tablet, and/or computer. It is a free app. Are you able to download apps?

Yes

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* 7. Please check below if you are interested in future Parenting your Toddler classes.

I am interested in future Parenting your Toddler classes

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* 8. Please check below if you are interested in future Parenting Children with ADHD classes

I am interested in future Parenting Children with ADHD classes

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* 9. Please check below if you are interested in future New & Expectant Parents classes

I am interested in future New & Expectant Parents classes

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* 10. Please check below if you are interested in Parenting your Autistic Teenager class on Mondays & Wednesdays 11am - 12:15pm starting March 6, 2023.

Monday-Wednesday Parenting your Autistic Teen class starting March 6, 2023

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* 11. How did you learn about our parenting classes?

From my child's school

From a community organization

Social Media (FaceBook, Instagram, Twitter, etc.)

Saw a flyer

From a friend or family member

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* 12. If you checked school or community organization, please enter the school or organization name here.

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* 13. If you checked friend or family member, please enter their name here so that we can thank them for the referral.

If you qualify for our class, we will contact you to complete the enrollment paperwork. If you don't hear from us within 2 days, please check your junk email folder! Participants who are accepted into the class and complete 12 class sessions will receive a certificate, a parenting book, and a $50 stipend. If you refer someone to our parenting classes and they complete a class, you will receive a $25 check when they complete their parenting class.

If you have a partner who would also like to participate in the class, please have them fill out a separate survey. Thank you.