Families First: Managing Parent-Teen Conflict 
Managing Parent- Teen Conflict uses Restorative Conferencing, a process facilitated by a trained restorative practitioner with the goal of repairing harm, achieving a sense of Healing and resorting relationships. Sessions take place with individuals families, parents and teens.
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Email *
Email address of Referral Source *
First & Last Name of Referring Person ( and contact phone number) *
Organization or Entity Name referring the family (enter na if self-referral) *
First and last Name of Parent(s) / Guardian(s) *
Contact Phone number and Email address of Parent(s)/Guardian(s) *
Residence Zip Code *
Name of Teen *
Birthdate of Teen *
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This form was created inside of Mediation Center of the Coastal Empire. Report Abuse