Connect through Play

Every impactful relationship starts with connection.

Our 8 week program seeks to further build this connection between parents and children and teach through play.

Each parent / child participates in a variety of activities and stations together to deepen relationships. All activities are play-oriented and help to create conversations about thinking patterns, emotions, and sensory needs to teach self-regulation. The 8 week course requires a commitment of 1 day a week for an hour time period. A meal is provided to all participants. All activities are led and supervised and assisted by our team.

Please note, acceptance into the program is not guaranteed based on submitting a registration. We will follow up with you shortly after you register to make you aware of current availability and give more details about the program.

REGISTER HERE

Caregiver Name

Please list the name of the caregiver that will be participating in the sessions with the child.

First Name

Last Name

Caregiver Email

Caregiver Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name

First Name

Last Name

Child's Age

Uplift Mentoring offers this course for parents with children ages 0-5 and a separate course tailored for parents with children ages 6 and above.

Child's Sex / Gender

DHS Worker's Name

If Applicable

DHS Worker's Phone Number

If Applicable

(###)

###

####

Referred By

How are you currently having difficulty connecting with your child?

If your child is in foster care, are they likely to be unified with their biological parents before the completion of the project?

Yes

No

Not Applicable

Is your child attending counseling through another agency?

What other services have you or your child participated in?

Is there additional information you would like to share with us about your child?