Smarter Parents Safer Kids Registration Form
Smarter parents is a 2-hour workshop that explores practical, age-appropriate ways to talk with your child(ren) about topics like online safety, setting boundaries, and personal safety for children ages 2-13 years old!
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method
*
Email
Phone
Age of child(ren)
*
On March 19th, which program are you attending?
11:00 am-1:00 pm
6:00 pm-8:00 pm
Monday April 6th
11:00 am-1:00 pm
Monday April 13th
11:00 am-1:00 pm
Monday April 20th
11:00 am-1:00 pm
Which date are you attending?
Please only select ONE date, as this program is a one-time 2 hour program
Monday, April 27th (Virtual)
11:00 am-1:00 pm
Monday, May 4th (Virtual)
11:00 am-1:00 pm
Monday, May 18th (Virtual)
11:00 am-1:00 pm
Monday, June 1st (Virtual)
11:00 am-1:00 pm
Monday, June 15th (Virtual)
11:00 am-1:00 pm
Monday, June 29th (Virtual)
11:00 am-1:00 pm
Monday, July 13th(Virtual)
11:00 am-1:00 pm
3:00 pm-5:00 pm
Thursday, July 16th(Virtual)
11:00 am-1:00 pm
Tuesday, July 21st (Virtual)
11:00 am-1:00 pm
Monday August 3rd (Virtual)
11:00 am-1:00 pm
3:00 pm-5:00 pm
Monday August 17th (Virtual)
11:00 am-1:00 pm
Monday, July 20th (Virtual)
11:00 am-1:00 pm
Wednesday, September 9th, 2026
11:00 am-1:00 pm
3:00 pm-5:00 pm
Monday, September 14th, 2026
11:00 am-1:00 pm
3:00 pm-5:00 pm
Monday, September 28th, 2026
11:00 am-1:00 pm (Virtual)
3:00 pm-5:00 pm (Virtual)
Monday, October 5th, 2026
11:00 am-1:00 pm (Virtual)
Monday, October 12th, 2026
11:00 am-1:00 pm (Virtual)
Monday, October 19th, 2026
11:00 am-1:00 pm (Virtual)
Monday, October 26th, 2026
11:00 am-1:00 pm (Virtual)
Monday, November 2nd, 2026
11:00 am-1:00 pm (Virtual)
Friday, November 13th 2026
10: 00 am-12 pm (In-person)
1:00 pm- 3:00 pm (In-person)
Monday, November 16th, 2026
11:00 am-1:00 pm (Virtual)
Monday, November 20th, 2026
10:00 am-12:00 pm (In-Person)
1:00 pm-3:00 pm (In-Person)
How did you learn about this workshop?
*
Facebook
Twitter
Instagram
JJPI Website
Linkedin
Someone you know
Referral
PHMC Website
Other
If you were referred, which organization or school referred you?
Any additional comments or information you would like to share?
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