Parent Support Group Reservation – Oregon Childcare Coalition

Class Details

*Parent Support Groups only available for 1-hour reservations on Mondays-Saturdays from 5pm – 8pm. Reservations must be approved by Director through email prior to use of shared space.

Class Name *

Class Description *

Layout

Class Date *

Class Time *

Organizer Information

Instructor/Facilitator Name *

First

Last

Layout

Email Address *

Email

Confirm Email

Phone Number *

Participant Information

How many participants will attend this support group? *

Will you be providing food or drinks for this group? *

Will parents need support with childcare to attend this group?

Yes
No
Maybe

If so, what the names and ages of children that will need childcare? *