The Power of Positive Parenting Seminar Registration Form

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Thank you for your interest in The Power of Positive Parenting virtual seminar! This seminar will help you get to know the core principles of positive parenting and will teach practical ways to deal with everyday challenges.

The seminar is being hosted by the Dodgeland School District. You will receive information on how to access it virtually that week.

Tuesday, April 13, 5:30 - 7:00 p.m. - The Power of Positive Parenting

Email *

First Name *

Last Name *

Phone Number *

Would you like a text message reminder sent to you the day of the seminar? *

Yes

If you would like a text reminder, please provide your cell phone number.

Address *

City *

State *

Zip *

Did you hear about this seminar from any of the following agencies? *

My child care / preschool provider

Beaver Dam Community Library

Church Health Services

Dodgeland School District

Dodge County Birth to 3

Jefferson County WIC

Jefferson County Public Health Department

Watertown Regional Medical Center

Watertown Unified School District

UW-Extension Dodge County

None of these agencies (please answer the next question to tell us how you learned about the program.)

How did you learn about the Positive Parenting Program? (Check all that apply) *

I received information about it in the TalkReadPlay bag during the Week of the Young Child

Word of mouth / verbal recommendation

Paper flyer / poster / postcard

Email / e-newsletter

Facebook

Instagram

Other:

Required

A copy of your responses will be emailed to the address you provided.

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