Raising Resilient Teens with Confidence

Thank you for your interest in the monthly Raising Resilient Parenting Group.

I am so excited to be starting this group!

Please complete the form below, including your preferred time to meet. Then I will be sending out an email with details about the meeting dates, time, and place.

- Stephanie

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Can I text you at this number?

Please list the ages of your child(ren):

Do any of your children have any of the following struggles? This will help me shape the group to best fit your needs.

Are you or your teen currently working with an individual or family therapist?

What concerns do you have for your teen?

Other

What are your current parenting challenges?

Other

Is there anything else you would like me to know?

The best time for me to meet is:

How did you hear about this workshop?

Would you like to receive emails about future events and workshops?

Once I collect all the registration and establish a time and date for the monthly meetings I will send you an email with the details and a link for payment at this time.

I am so excited to get this group going! Thank you for your interest.