Strengthening Families Program hosted at Cheney High School- 2026

Strengthening Families Program for Parents/Guardians AND their Youth 10-14 years old.

Please complete this registration form to hold your space for this FREE program! This is a program for youth AND their parent/guardians to attend together! The program starts on Thursday, February 19 and will take place each Thursday for 7 weeks. (Feb 19-April 2) Dinner is served each Thursday at 5:30pm and childcare is provided for youth 9 years old and younger. There is no cost to participants.

Question Title

1. Parent/Caregiver Participant #1

First and Last Name

Phone Number

Relationship to youth attending

Allergies

Will you be able to attend all 7 sessions? (Thursday's, Feb 19 -April 2)

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2. Parent/Caregiver Participant #2

First and Last Name

Phone Number

Relationship to youth attending

Allergies

Will you be able to attend all 7 sessions? (Thursday's, Feb 19 -April 2)

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3. Youth Participant (aged 10-14)

Youth First and Last Name

Age

Gender

School Attending

Allergies

Will the youth be able to attend all 7 Thursday sessions (Thursday's, Feb 19 -April 2)

Question Title

4. Youth Participant #2 (aged 10-14) (If you don't have another youth participant please skip this question)

Youth First and Last Name

Age

Gender

School Attending

Allergies

Will the youth be able to attend all 7 Thursday sessions (Thursday's, Feb 19 -April 2)?

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5. Childcare participant (for youth 9 years and younger)

First and Last Name

Age

Gender

Allergies

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6. Childcare participant (for youth 9 years and younger)

First and Last Name

Age

Gender

Allergies

Strengthening Families Program hosted at Cheney High School- 2026

Strengthening Families Program for Parents/Guardians AND their Youth 10-14 years old.

Question Title

1. Parent/Caregiver Participant #1

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2. Parent/Caregiver Participant #2

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3. Youth Participant (aged 10-14)

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4. Youth Participant #2 (aged 10-14) (If you don't have another youth participant please skip this question)

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5. Childcare participant (for youth 9 years and younger)

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6. Childcare participant (for youth 9 years and younger)

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7. Please use this area to tell us more about your family! Or if you have additional family members to register you may also use this space.

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8. For questions please contact Jessica Deutsch, jdeutsch@esd101.net or 509-703-2802

Strengthening Families Program hosted at Cheney High School- 2026

Strengthening Families Program for Parents/Guardians AND their Youth 10-14 years old.

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* 1. Parent/Caregiver Participant #1

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* 2. Parent/Caregiver Participant #2

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* 3. Youth Participant (aged 10-14)

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* 4. Youth Participant #2 (aged 10-14) (If you don't have another youth participant please skip this question)

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* 5. Childcare participant (for youth 9 years and younger)

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* 6. Childcare participant (for youth 9 years and younger)

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* 7. Please use this area to tell us more about your family! Or if you have additional family members to register you may also use this space.

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* 8. For questions please contact Jessica Deutsch, jdeutsch@esd101.net or 509-703-2802

1. Parent/Caregiver Participant #1

2. Parent/Caregiver Participant #2

3. Youth Participant (aged 10-14)

4. Youth Participant #2 (aged 10-14) (If you don't have another youth participant please skip this question)

5. Childcare participant (for youth 9 years and younger)

6. Childcare participant (for youth 9 years and younger)

7. Please use this area to tell us more about your family! Or if you have additional family members to register you may also use this space.

8. For questions please contact Jessica Deutsch, jdeutsch@esd101.net or 509-703-2802