Name: Estes Park, CO: – Presentations on Today’s Youth Culture and Social Media
Start: 2023-07-04T08:00:00-04:00
End: 2023-07-07T17:00:00-04:00
Location: YMCA of the Rockies

Virtual Parent Seminar Request Form

Thank you for your interest in CPYU's Virtual Parent Seminars. Please fill out the form below to begin the process of securing a possible date for your virtual event. After receiving your completed form, we will contact you regarding availability for your requested dates. Thanks for your interest in CPYU!

Sponsoring Organization Information
Church/Organization Name:*
Contact Name:*
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Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:*
Alternate Phone:
Email*
Event Information
Which Virtual Parent Seminar Are You Interested In?*
- Understanding and Addressing Anxiety in Your Kids (by Walt Mueller)
- Cultural Forces Shaping Children and Teens Today (by Walt Mueller)
- On-Purpose Parenting Through Uncertain Times (by Walt Mueller)
- Tech-Smart Parenting: How to Help Kids Flourish in a World of Smartphones and Social Media (by Walt Mueller)
Preferred Date #1:*
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Time of Day for Preferred Date #1*

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Minutes

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Preferred Date #2:
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Time of Day for Preferred Date #2

: Hours

Minutes

AM/PM
Preferred Date #3:
MM slash DD slash YYYY
Time of Day for Preferred Date #3

: Hours

Minutes

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Optional Q & A*
Are you interested in extending the 1 hour presentation with 30 minutes of Q&A for an additional $100?
- Yes
- No
- Undecided
Phone
This field is for validation purposes and should be left unchanged.

Helping parents, youth workers, educators, pastors and others understand and reach today's youth culture

Virtual Parent Seminar Request Form

Virtual Parent Seminar Request Form

Sponsoring Organization Information

Event Information

Bozeman, MT: – Understanding Today’s Youth Culture

Toronto, Canada: Tech-Smart Parenting

Estes Park, CO: – Presentations on Today’s Youth Culture and Social Media