Teen Parent Playgroup!
 Are you a pregnant and or a young parent between the ages 14-21? Come to the YWCA, a safe place to hang out and relate to others, all while your child(ren) interacts with other children! Please fill out the form below to provide dates you would be available to meet. After registrations are received, we will notify you of the first meeting date during the week of April 15th. The Teen Parent Playgroup will meet at the YWCA at least once a month. 
Sign in to Google to save your progress. Learn more
What is your full name? *
How old are you? *
What is your email address? *
What is your phone number to call and/or text? *
How many children do you have? *
What is your child(ren)'s name & age(s)? *
What do you hope to get out of this program?
Would you participate in games? *
Please choose any topics you have an interest in talking about!  *
Required
Please select date(s) that work for your schedule (more than 1 is allowed) *
Required
Do you need assistance with transportation? *
Thank you! We will contact you the via phone and email after April 1st will our first meeting date! We hope to have the first TPP the week of April 15th!
Thank you for your interest, we will be in contact with you soon! If you have any questions, please contact YWCA Jamestown (716) 488-2237 or Kristi kternullo@ywcajamestown.com
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ywcajamestown.com. Report Abuse