Workshop Registration
Join us for a FREE 8 week interactive group series that will explore Grand(parent) Connection for Active Grandparents - a family group that provides fun activities and family learning! This series is open to grandparents that are active in their young grandchildren's lives. Maybe you are watching your grandchild while parents work or just spend a lot of time together.  Sessions will include a light provided meal, 40-60 minutes of caregiver education and relationship building while children play and will end with a free family activity!

The series will take place at Hiawatha Public Library (150 W Willman St, Hiawatha) and is planned to run from 11:30 AM - 1:30 PM on Mondays. The series begins on 1/29/2024 and will end up on 4/1/2024
Sign in to Google to save your progress. Learn more
Those Attending 
Please fill out the following information about the adult grandparent/caregiver(s) and any grandchildren who will attend this program. This information helps us make sure there is enough materials and food at the sessions.
Full Name *
Phone Number *
Email Address *
If you do not have an email address enter "NA"
Preferred Type of Communication - Please select the option(s) you'd prefer when/if we need to communicate with you between family sessions. 
City of Residence *
Zip Code *
Have you attended a Family Learning group this school year (2023-2024)?
Clear selection
How many children may be attending this series with you?
Please enter each child's information in the following questions.
Clear selection
Children that will Attending
Child #1 Attending Name
If pregnant, please enter "TBD"
Child #1 birthdate
If pregnant, please enter due date
MM
/
DD
/
YYYY
Child #2 Attending Name
If pregnant, please enter "TBD"
Child #2 birthdate
If pregnant, please enter due date
MM
/
DD
/
YYYY
Child #3 Attending Name
If pregnant, please enter "TBD"
Child #3 birthdate
If pregnant, please enter due date
MM
/
DD
/
YYYY
Child #4 Attending Name
If pregnant, please enter "TBD"
Child #4 birthdate
If pregnant, please enter due date
MM
/
DD
/
YYYY
Names and birthdays of any additional attending children
Will a second parent or caregiver attend any sessions during this workshop series? *
It is not required to have a second caregiver attend, but please share information if another adult may attend
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy