Circle of Security Parenting – Interest Form – Partnership for Children of the Foothills

The group will be January 22-March 19 (8 sessions with one make up built in) from 9am-11am at our office.

Circle of Security™ Parenting is an opportunity to join other parents and caregivers. It’s an 8-week group where you’ll learn to:

Strengthen your relationship with your child
Be present with your child during the best and toughest of times
Recognize your child’s needs and make sense of his or her behavior
Meet your child’s needs by being bigger, stronger, wiser and kind

Who Should Attend: Parents/caregivers of young children, 2 months – 6 years

Circle of Security Parenting - Interest Form

Pre-register to express your interest in the next 8-week session by completing the following form. When we begin scheduling upcoming groups, we call potential participants in the order they appear on our interest list. Registration does not guarantee availability of a spot in a group, please wait until a facilitator calls you.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

How many children do you care for?(Required)

What are their names and ages?(Required)

Will you need child care?(Required)

Phone Number(Required)

Do you have a child/children with an Autism diagnosis?

Yes

In Progress

Please use this optional space to let us know any comments or questions you have that we should know prior to contacting you for a group when we have availability. Thank you!

Circle of Security Parenting – Interest Form

Circle of Security Parenting - Interest Form

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