If you suspect a child is being abused please call the Central Registry at: 1 (800) 342-3720

If you suspect a child is being abused please call the Central Registry at: 1 (800) 342-3720

To register for the Parent Empowerment Program Course please submit the form below.

Parenting Services Intake Form
Program
Daytime
Evening
May a message be left on your voicemail

Children's Information:
Do you now, or have you ever had, a problem with drug/alcohol abuse
Are you and your child(ren)'s other parent able to parent together
Registration Purpose
Are you involved with Child Protective Services
Were you previously involved with Child Protective Services
Have you been mandated to take this class
About Your Class

Have you attended any other parenting classes
Have you ever had any involvement with Domestic Violence
Are there any Orders of Protection

Relationship with Emergency Contact