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
4th
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 type that would be most relevant to you for joining the PAT Program
PAT Group Choice
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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 - Understand the Science: Connect with your Tween
4-week group - focused theme - Understand the Science: Connect with your Middle Schooler
4-week group - focused theme - Understand the Science: Connect with your High Schooler
4-week group - focused theme - Parenting Tips: The Changing World of Your Tween
4-week group - focused theme - Parenting Tips: The Social World of Middle Schoolers
4-week group - focused theme - Parenting Tips: The Social World of High Schoolers
4-week group - focused theme - Communicating with your Adolescent
4-week group - focused theme - Adolescent Stress and Health
4-week group - focused theme - Teen Mental Health
4-week group - focused theme - Teens and Sex
4-week group - focused theme - Understanding Adolescent Social, Gender, and Sexual Identity Development
4-week group - focused theme - Supporting your Adolescent’s Social Identity Development
I cannot commit to a group but I would like to attend an introductory PAT workshop to learn more
None of the above
Please indicate the group format that you would prefer for joining the PAT Program
PAT Group Format
Virtual Group
In-person Group
Both formats are fine
Please indicate the timeframes that you would consider for joining a PAT Group
PAT Group Timeframe Selection
*
April-May 2024
May-June 2024
August-September 2024
September-October 2024
October-November 2024
January-February 2025
March-April 2025
May-June 2025
None of the above
Please indicate your availability for meeting times:
PAT Group Meeting Time Selection
Monday Morning (10:30 am - 12:30 pm)
Tuesday Morning (10:30 am - 12:30 pm)
Wednesday Morning (10:30 am - 12:30 pm)
Thursday Morning (10:30 am - 12:30 pm)
Wednesday Afternoon (1:00 pm - 3:00 pm)
Thursday Afternoon (1:00 pm - 3:00 pm)
Monday Evening (6:30 pm - 8:30 pm)
Tuesday Evening (6:30 pm - 8:30 pm)
Wednesday Evening (6:30 pm - 8:30 pm)
Thursday Evening (6:30 pm - 8:30 pm)
Weekend Morning (10:30 am - 12:30 pm)
Weekend Afternoon (1:00 pm - 3:00 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.