Parent Planning Form

Thanks for answering these questions to help us strengthen the connection between you and your teen or tween?

Parent First Name

Last Name

Phone

State

Teens Name

What are some of your Teens Attributes and Challenges?

What are goals for yourself and for your Teen?

What is the PAY OFF for achieving these goals? How is your life going to be different for both you and your son or daughter?

Are you committed to work alongside Addie and Claudia to hold yourself or your teen accountable with the strategies they give you both?

Yes

Maybe

Right now I...

Have the financial resources to invest in myself or my son or daughter's personal growth

I don't have any financial resources at all and I'm going to things with where they are at

How did you hear about us?

Whats your Facebook Name?

Thank you! Have a great day!