Active Parenting Group: Registration Form for Fall 2022
The Regional Office of Education #33 is proud to bring the acclaimed Active Parenting program directly to you! Active Parenting will give you skills to achieve a fuller, more satisfying family life and help your children achieve greater happiness and success. For parents and caregivers with children age 0-12.

Dates: Sept 12, 19, 26, Oct 3, 17, 24, Nov 7, 14
(attendance is required at all 8 sessions IF you need to receive a certificate of completion)
Time: 5:30pm - 7:00pm
Location: 1215 Monmouth Blvd - United Way of Knox County

*Childcare not provided*

For questions or more information, please email: apoulos@roe33.net or rhillyer@roe33.net

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Email *
Name *
Phone Number (This is how we will contact you about Active Parenting) *
In what county do you reside? (This is for our grant data collection purposes only) *
How many children live in your home? (This is for our grant data collection purposes only) *
Does someone in your family have a mental illness/disorder? (This is for our grant data collection purposes only) *
How did you learn about this group? *
What are the needs of your family and your needs as a parent/caregiver? Please provide any suggestions on topics for future workshops and classes that you and/or your family would benefit from attending. *
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