Parenting Support Request

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Please complete this form if you are expecting or are caring for a child from birth - 3rd grade and would like to connect with a licensed Parent and Family Educator for support. A Parent Educator will contact you within 1-2 business days.

Email *

By submitting this form, I agree to have a licensed Parent Educator contact me. *

Yes

Parent's Name *

Parent's Email Address *

Parent's Phone Number *

Preferred Contact Method *

Phone

Google Meet

Other:

Required

Best time of day to contact you?

Child's Name *

Child's Birthdate *

YYYY

Child's School *

New Hope Learning Center

FAIR Pilgrim Lane

Forest

Lakeview

Meadow Lake

Neill

Noble

Northport

Robbinsdale Spanish Immersion

School of Engineering and Arts

Sonnesyn

Zachary Lane

Other:

Reason for Request *

Setting up a daily routine

At home activity ideas

Questions about child development

Behavior challenges (and finding positive ways to guide/teach your child)

Sleep/bedtime challenges

Eating/mealtime challenges

Managing stress

Family relationships & communication

Community resources for families

I am requesting a HUG (Helping Us Grow) home visit (https://www.helpingusgrow.org/)

Other:

Required

Any additional information you would like to share?

Submit

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