Strengthening Families Program (10-14) Registration - Butler County January 2023
Welcome to Strengthening Families 10-14! This is a program about showing love and setting limits.

WHO: Parents/caregivers and youth ages 10-14 who reside in Butler County 

WHAT: The Strengthening Families Program 10-14 is a FREE family program where parents and youth will attend the program one evening per week for seven weeks and have lots of fun together. They will learn ways to promote family bonding, keep the lines of family communication open, and use family strengths to solve problems together. Participants also receive childcare for any youth under the age of 10, family dinner, fun family games and activities, and weekly prizes for both youth and adults!

WHERE: St. Luke's Evangelical Lutheran Church, 310 Main Street, Saxonburg, PA

WHEN: Beginning the week of January 9th, 2023 and running through the week of February 20th, 2023

Please answer all required questions. A confirmation email will be sent to you when your registration is submitted.
Sign in to Google to save your progress. Learn more
Email *
Parent/Caregiver first and last name(s) who will be attending *
Youth first and last name *
Youth Age *
Required
Additional Youth(s) who will be attending (provide first and last name and age).  This program is intended for youth age 10-14. *
Phone Number *
Does this phone number allow for text messages?  *
What school district does your child attend or do you live in? *
Home Address (for mailing/delivery of program materials if needed) *
Will you and/or your child need any special accommodations (learning disabilities,closed captioning, etc)? *
Do you have other children younger than the age of 10 who will need childcare during the sessions? If so, please provide name(s), age(s), and other necessary information. *
Please provide any additional information necessary that will be important for us to know during the programming.
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Keystone Wellness Programs. Report Abuse
Google Forms