Triple P - Positive Parenting Program
May 14 - July 2, 2024 (for parents/caregivers of children ages 3-12)

These classes are for NC residents only.   
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Name and birthdate of EACH parent/caregiver who will attend  *
First name and age of each child living in the household *
Mailing address including ZIP code *
Phone number *
Email address *
What interests you about taking Triple P at this time? Do you have specific concerns about your child (children) that you would like us to know about? *
It is important that each participant attend all 5 groups plus 3 individual sessions.  Does this commitment work for you? *
Would you prefer that groups meet in-person or via Zoom? *
Groups will be held on Tuesdays.  Would you prefer to meet from 11:30am - 1:30pm or 5:30 - 7:30pm?   *
How did you learn about this class? *
Required
Optional question for demographic purposes
How would you describe your ethnicity and race?
Optional question for demographic purposes
How would you describe your gender(s)?
We will contact you via email prior to the beginning of your session to confirm dates, location, and attendance.

If you have questions, please contact Becki Woolf at   
beckiw@childrenandfamily.org / 828-698-0674 ext. 172.
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