Tuning into teens at headspace Horsham: Term two registration Form
Tuning into teens is a 6 week program designed for parents and carers of adolescent young people. The program focuses on emotion coaching and is designed to support parents and carers to deepen and strengthen their relationships with their young people. The term 2 program will be delivered online from 6pm to 8pm with short breaks within for 6 weeks. More information about the program will be sent out upon registration.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of young people in your care and their ages
*
Describe your relationship with your young people?
Please Select
Mum
Dad
Step parent
Grandparent
Aunty
Uncle
Brother
Sister
Carer
Guardian
How did you hear about this program?
Please Select
School
Support worker/service
Social Media
Newsletter
Newspaper/other media
Friend/Family
Other
Share with us how you hope this program might be able to support you and your young people?
Register
Should be Empty: