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.

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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

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