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Strengthening Families Registration

Thank you for your interest in joining the Strengthening Families Program in Brookings. Classes will be held every Tuesday starting Feb. 7th, 5:30 pm, at Gracepoint Church. This is not a religious based program and we will not be talking about any religious topics. It is an evidence-based parenting program with a short lesson for parents and children each week followed by a meal. Before you fully enroll we need to collect some information to make sure you qualify. Only the program director will see your information and it will not be shared.

Pleas Provide your Contact Information

First Name

Last Name

Phone

Email Address

Physical Address

Please Provide your partners Contact Information or Skip if not applicable

First Name

Last Name

Phone

Email Address

Are you able to attend classes on Tuesdays from 5:30-7:15pm?

Yes

No

How many children do you plan to bring to the classes in the age groups below?

0

9

Age 6-11

Age 12-16

Do you need transportation assistance?

Yes

No

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