Positive Parenting Program Positive Parenting Program (Triple P) Question Title * 1. How can we contact you? Name * ZIP/Postal Code * Email Address Phone Number (By providing a cell number, you may receive periodic text message reminders for this workshop) Question Title * 2. What topics would you most like to learn about or discuss in this workshop? Positive Parenting Managing misbehavior Helping children develop Other (please specify) Question Title * 3. To create an environment of connectedness and trust, we ask you to commit to as many sessions as possible. Do you believe you will be able to commit to this 8-week parenting class? Yes No We understand childcare can be a barrier to attendance. We encourage you to seek alternate childcare, but if you are unable to, and childcare is the only barrier to attending, please call us at 530-749-4877. Question Title * 4. Are your children ages 0 - 5 years old? Yes No Done