Hello Guardian!

Dr. Paula Pilcher is excited to share this empowerment program with your teen after seeing its powerful impact on teens since 2013!

These 60 minute classes include three components:

• learning a tool (20 min)
• peer discussion (20 min) 
• mindfulness activity (20 min)

Tools taught cover health and empowerment skills for confidence, self esteem, body image, relationships and conflict, stress management, resilience, and mental health, emotional health, physical health, and social health.

Peer discussions will revolve around the tool taught and the topic of that particular class so that they may process with each other, feel heard, and practice active listening and critical thinking.

Mindfulness activities include a variety of stress relief activities such as stretching, breathwork, self massage, yoga, self acupressure, movement, restorative relaxation, fascial melting, vagus nerve toning, meditation, and more. 

 

Please fill out, e-sign, and submit this form to receive the payment link for classes. There is an option to print the form to keep for your own records at the end.

Once you submit this form you will be sent a payment link which will give you the option to purchase the number of classes you want and select dates of classes.

You may purchase one class at a time if desired, and do not need to fill out this registration form again. You only need register once per series of classes.

Keep the payment link sent to you to purchase further classes in the future.

COSTS: 

Class per drop-in session = $25

Class package (all 5 classes) = $100 (20% discount)

WHEN:

Offered on 5 Thursdays, February 19th - March 19th, 2026

• Middle School Class:  6pm-7pm
• High School Class:  7:15pm-8:15pm

Please arrive before start of class so that we may begin on time.

WHERE:

Empowerteen Headquarters, Suite 105

3800 SW Cedar Hills Blvd

Beaverton, OR 97005

 

Parking is free and in the parking lot. Enter through the doors by the sign that says "Main Office" and proceed to the double doors on your left (Suite 105). If you are at the building that houses 2 restaurants (Thai Bloom and Westgate), then you are in the correct parking lot but at the wrong building. Look for the other brick building that has a plaza courtyard in the middle.  

 

For questions about classes, or general information, please email us at events@empowerteen.org or give us a call at 503-207-6284. 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 these classes, 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, I am over the age of 18, I take full responsibility for 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 class. 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, testimony, and video in any promotional material (web, print, or media) unless I otherwise nofity so in writing before the start of the class. I am aware that I will be taking a spot from someone else to attend due to the maximum number of class participants, therefore if my teen can no longer make it to the class, I will let Empowerteen know at events@empowerteen.org so that they may open the spot to a teen on the waitlist. As the adult guardian I understand the inherit risks involved with this class'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 and give you payment links to reserve a spot in the class on any of the 5 dates it is offered. Please be looking for it!