Parenting an Adolescent or Teen? Interested in finding connection, resources, and community? Need support in specific topics around adolescent parenting? Please provide more information below so we can offer program options to best suit your needs.
I'm interested in participating in PEPS Parents of Adolescents and Teens (PAT) program
First Name
*
Last Name
*
Email
*
Zip
*
Please specify the school grade(s) of your child(ren):
Child(ren) Grade in School
5th
6th
7th
8th
9th
10th
11th
12th
Please indicate the choices of PAT topics that would be most relevant for you as a teen parent
PAT Topics - Please select your top 4 choices
Foundations of Parenting an Adolescent
Adolescent Brain Development
Teen Mental Health
Communicating with Teens
Social and Online Worlds of Adolescents
Adolescent Identity Development
Parent Stress and Coping
Helping Teens deal with stress
Please indicate the choice of PAT group that would be most relevant to you for attending in 2023
PAT Group Choice Selection
PAT MS (for Parents of Middle Schoolers)
PAT HS (for Parents of High Schoolers)
PAT MS-HS (for Parents of Middle and High Schoolers)
I cannot attend any group but I can share information about the PAT Program
Please indicate the timeframes that you would consider for joining a PAT group
PAT Group Timeframe Selection
August- September
September-October
October-November
Maybe in 2024
None of the above
Please indicate your availability for meeting times:
PAT Group Meeting Time Selection
Weekday Morning (before 12:30 pm)
Weekday Afternoon (between 1-5 pm)
Weekday Evening (between 5-8:30 pm)
Weekend Morning (before 12:30 pm)
Weekend Afternoon (between 1-4 pm)
Sunday Evening (5 to 7 pm)
No preference of time. Will make it work.
Questions, Concerns and Comments
I am unable to join a PAT group at this time but I will consider joining other PAT program formats in the future.
PAT Format Choice Selection
9-week PAT Group (with parents from various regions- no specific affinity)
9-week PAT Group (based on shared Affinity such as location, language, social identity, school district)
4-week PAT Group (specific topics based on shared areas of interest)
4-week PAT Group (specific topics based on shared age or education stage of adolescents)
PAT Workshop Weekly 1 hour Series (3-4 sessions)
PAT Workshop 3-4 hour one-time session (topic specific)
I have a friend who might be interested in participating in PEPS Parents of Adolescents and Teens (PAT) program
Friend's Email
Submitting this form authorizes PEPS to send information and updates on our program for adolescents & teens and confirms your interest in participating.