Empowering Youth Today- Parent Program Registration
Registration
Please fill out the form to be registered for the EYT Parent Program. If you indicate you would like to participate virtually, a link will be sent to you by the email you provided.
1.
First and Last name
2.
Email address
3.
Telephone/Cell #
4.
County of residence
5.
I am or represent
Parent/caregiver
foster care parent
aunt/uncle/grandparent
Community member
Educator
Health Services
Other (please specify)
6.
I am interested in attending the parent program IN-PERSON
Yes
No
7.
I am interested in attending the event VIRTUALLY
Yes
No
8.
Has your child participated in the Empowering Youth Today Program? (Formerly Michigan Abstinence Program)- This class would occur in a 6th-9th grade health class
Yes
No