Hello Guardian!

Dr. Paula Pilcher is so excited to provide the Roadside Emergencies Workshop after the success of the workshop in the past, and demand for it to be offered again.

The workshop is for ages 11-18 and participants will be grouped by vehicles according to age so they can engage with their peers.

Your teen doesn't need to have a driver's license or even a learner's permit, because the premise of this workshop is that if they're in a car, and it breaks down for some reason, they could be the ONLY person in that vehicle who knows what to do... after they take this workshop, of course! 

Calling for help or AAA isn't always an option if they're out of cell service range or the place they're experiencing the emergency is dangerous or time sensitive (such as inclement weather) and they can't wait for help to arrive. Flagging down other passers-by isn't always going to save them either.

It's time to get EMPOWERED! This workshop will not only teach them HOW to handle common roadside emergencies, it will also give them the chance to actually PRACTICE the skill on different vehicles. Hearing about, reading about, and being told about how to do these things will not stick in their head in an emergency as will EXPERIENCING actually doing these things.

They will be learning and practicing:

• changing a tire
• jumstarting a vehicle's battery
• what to do if your car overheats while you're driving
• how to safely pull out of harms way and set flares during an emergency to prevent further problems with traffic or on a windy low-visibility road

We will have guest instructors at each car, time to rotate through practicing the skills, then another guest speaker will bring some great car necessities SWAG and teach them about what to do if they get into a car accident, as well as share the secrets to getting the lowest rate on car insurance that they can.

They will leave with the confidence and experience to know how to handle multiple roadside emergencies, how to protect themselves while roadside, a gift bag of tools for a vehicle, a checklist to keep in the glove compartment, and the skillz to do the drillz!

To learn more about this workshop, visit: https://www.empowerteen.org/events

Registration form:

In order to make it the best experience possible for everyone, this form includes: information about the workshop, contact info form to register and in case of emergencies, and permissions form to make sure they have everything they need to make the most of their fun and engagement, and keep everyone safe.

Register soon as space is limited due to number of teens per vehicles and vehicular space.

Refund policy:

Registration is refundable (minus $20 merchant fees for the refund) until May 12th, after which it is non-refundable unless you can find someone to fill the reserved spot for us before May 16th. 

Please fill out, e-sign, and submit this form before May 19th, 2024 to hold your teen's spot at the workship. There is an option to print the form to keep for your own records at the end. We will get back to you to confirm the availablity of openings and then give you the link for payment to secure your spot.

If registration is filled to capacity, we will get back to you and let you know that you have been placed on the waitlist. When we hear of canceled registrations, we will reach out to let all wait-listed people know that a spot has opened up, to be filled first come, first served.  

For questions about the workshop, or general information, please email us at events@empowerteen.org or give our Events Coordinator, Grace Darazs, a call at 503-207-6284 ext. 109. For anything you need Dr. Paula to know specifically about your teen's needs, email her at dr.paula@empowerteen.org.

 

For more information about future events with Empowerteen, please go to https://www.empowerteen.org/events/ to get the latest updates.

 

It is our policy to contact the parent or adult guardian as soon as possible in the event of an emergency. We will contact the Guardian listed above first, then the Emergency Contact, in that order. If we cannot get ahold of anyone after this process, we will activate emergency services by calling 911 if necessary. It is your responsibility to let us know if we need to be aware of potential health issues that may arise as the teen attends this workshop event, and any modifications that are needed to prevent emergency situations.

 

By hitting 'submit' and signing this form, I agree that I am the parent or adult guardian of the above named teen participant and that I am over the age of 18, I take full responsibility for the participant, or that I am 18 and myself the participant, and all the information entered into this form is true and correct with nothing omitted. I agree that if any of this information changes that I will notify Empowerteen so in writing before the start of the event. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named teen participant by authorized personnel. I authorize Empowerteen to use my teen's picture (or my own if I am 18), testimony, and video in any promotional material (web, print, or media) unless I otherwise nofity so in writing before the start of the workshop. I will attach a picture of my teen's face in the upload portal below if I want their face blurred or cropped out of pictures taken in this large group setting. I am aware that I will be taking a spot from someone else to attend due to the maximum of 16 participants, therefore if my teen can no longer make it to the event, I will let Empowerteen know at events@empowerteen.org so that they may open the spot to a teen on the waitlist. I understand the refund policy as stated above. As the adult guardian, or an 18 year old self-participant, I understand the inherit risks involved with this workshop's activities and social interactions, and I agree not to hold Empowerteen, 11-22 Integrative Medicine, or Dr. Paula Pilcher liable. I am aware that if I do have concerns, that it is my responsibility to have engaged contact with the appropriate parties at Empowerteen to address them. Therefore this signature will also serve as my informed consent and waiver. 

Be certain to enter your email address correctly on the registration form to receive confirmation via email. Once you have signed and submitted, we will contact you via email from events@empowerteen.org to let you know if a spot is open for you to finalize your registration with payment. If we've hit the max participants, you will be on the waitlist until a spot opens up. We will also send a final confirmation with any updates a few days before the event starts. Please be looking for it!