4.20.23 Hemet Parent Center Teen Triple P Parenting Classes
Thank you for your interest in participating in the Positive Parenting class for parents with Teens (12-16)
This class will begin on 4/20 (Tuesday) from 9am-11am, and it will last for 8 weeks.

Please fill out the following questions to complete your registration. This questionnaire helps our funding source to learn about the demographic of recipients in order to continue providing this free resource for the community. Your response also helps our team to learn more about your parenting situation and better tailor the course to your need.

After you have completed this form, your facilitator will be contacting you to provide more info and the zoom link a week before the class begins.
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Triple P Demographic Questionnaire
What is your name? *
What is your full address with zip code? (We will mail you a free workbook) *
What is your phone number? *
What is your email? *
What is your Gender? *
How old are you?
Demographic Questions (Optional)
These following questions are Optional.
These answers help our funding source to determine the population that we serve each year. If you do not feel comfortable with answering any of the following questions, you may choose to ignore the questions.
What race do you identify with?
Clear selection
What sexual orientation do you identify with?
Do you have a disabling condition?
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Are you a veteran?
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How did you hear about us? *
We value your feedback! Please check YES or NO if you are willing to be contacted by Riverside County University Health System's Prevention and Early Intervention services in regards to your participation in the county funded program.
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