Parent University Registration Form - Saturday, January 31, 2015 View or Download full brochure at: www.parentcommunitynetwork.com Register early, sessions fill quickly! Mark first & second choices per session. Please print clearly - one person per form. Name (first) (last) Sponsored by Address ______ ____Check here if you are a first-time attendee. City St Zip Phone ( )___________________ Email address ______________________________________________ (Email will be added to PCN news updates) School(s) child(ren) attend Age(s) of child(ren) ___ ___ ___ ___ KEYNOTE SPEAKER (8:30 - 9:45 am) X Go online to: Three Keys to Raising Resilient Children - (G) Mary O'Donohue Sessions designated by age level: Preschool (P), Elementary (E), Middle School (M) High School (H), General (G) www.parentcommunitynetwork.com VIEW full brochure with full session descriptions and speaker bios. SESSION 1 (9:55 - 11:00 am) (Mark #1 and #2 choice) PARENT UNIVERSITY $20.00/ person pre-registered by 1/23 OR $25.00/ person at the door or if rec'd after 1/24 (includes sessions, snacks & beverage)....$______ Optional additional donation ................. $______ 1A Emotional Intelligence - Teaching Empathy and Compassion - 1B Family Meals: Fresh, Fast and Fun - Laura Valcour G 1C Coping Mechanisms - Indicators of Risky Behavior - Kimberly G (Thanks ! We rely solely on donations) EM Child Care (Age 3-10) pre-registration required $7.00 / child.......................................$______ TOTAL ENCLOSED ...............................$_______ Michael Maniacci Groll G 1D Is It Sensory or Is It Behavior - Debra Johnson 1E The Talk - How to Talk to Your Kids About Relationships and Sex - Barb Barrett A 1F Transform Your Parenting With Mindfulness - Cathy Adams G 1G Family Matters - Allowance, Chores, Responsibilities - Dana P Burke / Jennifer Schuler Sorry refunds cannot be processed Child Care Provided by Grand Avenue Children ages 3 to 10 (MUST be potty-trained) Please bring marked sack lunch for each child. Healthy morning snack & beverage provided. Break / Resource Room open (11:05 am - 11:25 am) Check-in your registered child at PU table. SESSION 2 (11:30 am - 12:35 pm) (Mark #1 and #2 choice) 2A Top Tips For Building Resilience - Karen Jacobsen / Lauren Bondy G 2B What is and is not Normal in Teenage Emotions & Behaviors? - Chris Mazzarella A 2C End The Screen Addiction - Cathy Adams G 2D Bringing Out Their Best - Maureen O'Hara G 2E Self-esteem and Body Image in Middle School - Mallory Rose M 2F Boomerang Kids - Michael Maniacci A 2G Self Calming in the Parenting Moments - Sheryl Stoller G Name sex age Name sex age ____ Name sex age ____ **please indicate food allergies if applicable** Return completed registration form with payment (make checks payable to Parent University) LTHS - South Campus ATTN: Jeanne Widing 4900 S. Willow Springs Rd. Western Springs, IL 60558 Any questions? Call Jeanne 708.579.6507 or email [email protected] or [email protected]
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