Connecting Families Meeting RSVP

Connecting Families meetings provide an opportunity for caregivers to share experiences, challenges, and successes in a safe and supportive environment. embrella's Connecting Families groups provide a welcoming community where you can share resource parenting tips and benefit from connecting with other caregivers who understand your situation.

Please note that childcare is not provided for all Connecting Families Meetings,
unless otherwise stated on the meeting choice, so be sure to make alternate arrangements.

For caregivers who need childcare to attend a meeting that does not offer childcare, babysitting reimbursement may be available to you at a flat rate of $15.00 per hour per household (not per child). In order to be considered for reimbursement, please contact your Resource Worker at CP&P and let them know your need for babysitting with an explanation.

RSVP is requested due to limited spacing.

If you need to cancel for any reason, please contact your Family Support Advocate.

Las reuniones de Conectando Familias ofrecen a los cuidadores la oportunidad de compartir experiencias, retos y éxitos en un entorno seguro y de apoyo. Los grupos de Conectando Familias de embrella proporcionan una comunidad acogedora en la que puede compartir consejos de crianza de recursos y beneficiarse de la conexión con otros cuidadores que entienden su situación.

Tenga en cuenta que no se proporciona cuidado de niños para todas las reuniones de Conectando Familias, a menos que se indique lo contrario en la elección de la reunión, así que asegúrese de hacer arreglos alternativos.

RSVP se solicita debido al espacio limitado.

Si necesitas cancelar o modificar tu reservation favor de llamar Gerente de Apoyo Familiar, Jessica Hernandez 609-250-6446.
Which Connecting Families Meeting Are You RSVPing For?*
Primary Resource Parent's Name*
First Last
Nombre del padre o madre de recurso primario*
First Last
Resource Parent License Number*
Número de licencia de Familia de Recurso*
County*
Condado*
Email*
Correo electrónico*
Phone*
Is texting allowed?*

Yes

No
Número de teléfono:*
¿Está permitido enviar mensajes de texto?*

Sí

No
Hidden
Is a child or youth attending with you?*

Yes

No
Hidden
Attending Adolescent's First Name*
Attending Child/Adolescent's First Name*
Hidden
Attending Adolescent's Identifying Gender*
Female
Male
Attending Child/Adolescent's Identifying Gender*
Female
Male
Hidden
Attending Adolescent's Age*
Attending Child/Adolescent's Age*
Is there a secondary parent attending?

Yes

No
¿Asiste un padre o madre secundario?

Sí

No
Hidden
Is there a secondary adult and adolescent pair in the home that you would like to add to the waitlist?

Yes

No
Is there a secondary adult and child pair in the home that you would like to add to the waitlist?

Yes

No
Secondary Resource Parent's Name*
First Last
Nombre del padre secundario
First Last
Secondary Parent Email*
Correo electrónico del padre secundario
Secondary Parent Phone*
Teléfono del padre secundario:*
Is texting allowed?*

Yes

No
¿Está permitido enviar mensajes de texto?*

Sí

No
Hidden
Waitlisted Adolescent's First Name*
Waitlisted Child/Adolescent's First Name*
Hidden
Waitlisted Adolescent's Identifying Gender*
Female
Male
Waitlisted Child/Adolescent's Identifying Gender*
Female
Male
Hidden
Waitlisted Adolescent's Age*
Waitlisted Child/Adolescent's Age*
Hidden
Family Name: (i.e. The Martinez Family)*
Hidden
What is your family grateful for?*
¿Le acompaña algún niño o joven?*

Sí

No
Número de niños y jóvenes que asisten:*
Is a child or youth attending with you?*

Yes

No
Number of Children and Youth Attending:*
1. Sexo*
Hembra
Varón
1. Edad*
2. Sexo*
Hembra
Varón
2. Edad*
3. Sexo*
Hembra
Varón
3. Edad*
4. Sexo*
Hembra
Varón
4. Edad*
5. Sexo*
Hembra
Varón
5. Edad*
6. Sexo*
Hembra
Varón
6. Edad*
Número de niños que necesitan mochilas:*
1. Sexo*
Hembra
Varón
1. Edad*
2. Sexo*
Hembra
Varón
2. Edad*
3. Sexo*
Hembra
Varón
3. Edad*
4. Sexo*
Hembra
Varón
4. Edad*
5. Sexo*
Hembra
Varón
5. Edad*
6. Sexo*
Hembra
Varón
6. Edad*
1. Identifying Gender*
Female
Male
1. Age*
2. Identifying Gender*
Female
Male
2. Age*
3. Identifying Gender*
Female
Male
3. Age*
4. Identifying Gender*
Female
Male
4. Age*
5. Identifying Gender*
Female
Male
5. Age*
6. Identifying Gender*
Female
Male
6. Age*
Number of Children in your Household for Back to School Backpack and School Supplies Distribution:*
1. Identifying Gender*
Female
Male
1. Age*
2. Identifying Gender*
Female
Male
2. Age*
3. Identifying Gender*
Female
Male
3. Age*
4. Identifying Gender*
Female
Male
4. Age*
5. Identifying Gender*
Female
Male
5. Age*
6. Identifying Gender*
Female
Male
6. Age*
Please note that our lunch is served buffet style. There may be allergens present and cross contamination possible. We are gathering information to see if we are able to accommodate your dietary needs/allergies. Please note we may not be able to accommodate your need.
Do any guests have dietary needs/allergies?*

Yes

No
The Name of the Person with the Dietary Need/Allergy*
Please list your dietary need or food allergy here: Ie. Vegetarian, Vegan, No Beef, No Pork, Gluten free, lactose intolerant, Peanut, Treenut, Egg, Shellfish, Fruit, etc.*
What type of contact will cause reaction? ex. Airborne, Cross Contamination, Actual Ingestion
How did you hear about this event?*
Mailed Invitation
Email
CP&P Worker
Other
Other*
¿Cómo se enteró de la reunión?*
Invitación por correo
Correo electrónico
Trabajador de CP&P
Otro
Otro*
If you need to cancel for any reason, please contact your Family Support Advocate.

Si necesitas cancelar o modificar tu reservation favor de llamar Gerente de Apoyo Familiar, Jessica Hernandez 609-250-6446.

embrella will follow CDC COVID recommendations. Individuals in attendance will be responsible for their own mask should they choose to wear one.
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