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Growing Great Families - Parent Talk Discussion Group - Enrollment Form
What do you want in your family life and how do you get there? Join us for a monthly discussion on getting more of what you want in your relationships with your family!
July 12, 2021, 6:00-7:00 pm (MST) via Zoom
Cost: $10 (suggested donation - pay by Venmo: @Rachel-Wigglesworth)
Find details here:
https://growinggreatfamilieswy.weebly.com/parent-talk-discussion-group.html
Questions? Email
GrowingGreatFamilies@gmail.com
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First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
A $10 suggested donation can be made via Venmo (@Rachel-Wigglesworth). Zoom link will be sent out one hour prior to class start time. Other payment options and details will appear once you submit this form.
Parenting Challenges
Optional: Please give Rachel some ideas of the challenges you are working on with your child(ren) at home.
What are your biggest parenting challenges? What are you hoping to get out of this discussion group? Any other comments?
Your answer
Age(s) of your children
Please enter the age of your child/children below. (Note - there is an option to indicate that you do not have children)
Child 1:
*
Choose
No children
Baby on the way!
0-6 months
7-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
older than 18
Child 2:
Choose
No children
Baby on the way!
0-6 months
7-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
older than 18
Child 3:
Choose
No children
Baby on the way!
0-6 months
7-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
older than 18
Child 4:
Choose
No children
Baby on the way!
0-6 months
7-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
older than 18
Child 5:
Choose
No children
Baby on the way!
0-6 months
7-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
older than 18
Where do you live?
City
Your answer
State
Choose
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Where did you hear about this class?
Click all that apply. Please add specifics in the "other" category. For example, where you saw the flyer; at which preschool you heard about the class; or if you found out about the class in a different way.
Growing Great Families' website
Growing Great Families' mailing list/email
Newspaper (Jackson Hole News & Guide)
Facebook - Growing Great Families' page or Rachel's personal page
Facebook - Vicki Hoefle's page
Friend
Web search
My day care/ preschool/ school
Flyer
Other:
Would like to receive Growing Great Families' periodic and infrequent newsletters to read Rachel's blogs and hear about class offerings?
Yes
No
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