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
*
Name of your Middle School or High School
*
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 discussion topics that are most relevant for you as the parent of an adolescent
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 group format that would be most relevant to you for attending in 2023 or 2024
PAT Group Choice
9-week group PAT MS (for Parents of Middle Schoolers)
9-week group PAT HS (for Parents of High Schoolers)
9-week group PAT MS-HS (for Parents of Middle and High Schoolers)
4-week group - focused theme - Getting Ready to Parent an Adolescent
4-week group - focused theme - Art and Science of Parenting a Middle Schooler
4-week group - focused theme - Art and Science of Parenting a High Schooler
4-week group - focused theme - Communicating with your Adolescent
4-week group - focused theme - Adolescent Identity Development
4-week group - focused theme - Helping Middle Schoolers Cope
4-week group - focused theme - Helping High Schoolers Cope
4-week group - focused theme- Adolescent Health an Well-bring
I cannot commit to a group but I would like to attend an introductory PAT workshop to learn more
Please indicate the timeframes that you would consider for joining a PAT Group
PAT Group Timeframe Selection
September-October 2023
October-November 2023
January-February 2024
March-April 2024
May-June 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 would like to remain connected and join/support this program in the following ways
PAT Connection choice
I will consider joining a PAT Group later
I would like to host an introductory PAT workshop for a community that I am part of
I would like to help with PAT Program outreach
I have a friend who would like to receive information about the 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 Parents of Adolescents & Teens and confirms your interest in participating.