Starting Strong
at Bemis Public Library

Saturday, January 24, 2025 (9:00 -11:15am)

Bemis Public Library,

6014 S. Datura St.

Littleton, CO 80120

Kidpower is a non-profit organization that teaches interpersonal safety and confidence-building skills to young people. The Kidpower approach ensures that every child practices every skill presented through carefully formatted activities and role-play. Your child will build confidence, self-esteem and awareness in dealing with strangers and people they know.

Kidpower is successful because skills are taught in a way that is not scary or overwhelming, but matter-of-fact and fun!

Kids will learn to:

Be aware and confident
Avoid getting engaged in unwanted conversation
Use voice and body to escape a threatening situation
Get help from busy adults
Set boundaries on touch with people they know

Fees: Free

Who: 4-6 year old children and their parents only (please make care arrangements for older or younger children).

Fee: Free

To Register: Complete the enrollment form below.

Class is limited to 12 students! Enrollment is on a first-come, first-served basis.

Registration Form

Starting Strong: Bemis Public Library

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

YOUR First Name*

YOUR Last Name*

Are you the legal guardian of the child(ren)?*

Yes

Your relationship to Child(ren)*

How many children are you enrolling?*

Scholarships available.

Program Date*

NOTE: We will do our best to enroll your child(ren) in the workshop if there is an opening. We strongly recommend that you enroll even if your desired date is on a waitlist, as there may be last-minute switches which may provide an opening.

January 24, 2025 (9:00 - 11:15am)

You are signing up for a waitlisted workshop. Please fill out this enrollment form completely. You will not be charged, and we will contact you with further details and payment information if a spot becomes available.

Child 1 Information

(Child 1) First and Last Name*

(Child 1) Birthdate*

(Child 1) Age

(Child 1) Preferred Name (if different from first name)

(Child 1) Gender

Child (1) Race/Ethnicity

OPTIONAL: This information is anonymous, and helps Kidpower Colorado secure grant funding for scholarships.

Child 2 Information

(Child 2) First and Last Name

(Child 2) Birthdate

(Child 2) Age

(Child 2) First and Last Name

(Child 2) Preferred Name (if different from first name)

(Child 2) Gender

Child (2) Race/Ethnicity

OPTIONAL: This information is anonymous, and helps Kidpower Colorado secure grant funding for scholarships.

Child 3 Information

(Child 3) First and Last Name

(Child 3) Birthdate

(Child 3) Age

(Child 3) Preferred Name (if different from first name)

(Child 3) Gender

(Child 3) Race/Ethnicity

OPTIONAL: This information is anonymous, and helps Kidpower Colorado secure grant funding for scholarships.

Contact Information

Address*

Street Address Address Line 2 City State ZIP Code

Mobile Phone Number*

Kidpower Colorado uses mobile numbers for text (SMS) and verbal communications. Standard text messaging rates from your wireless carrier may apply.

Other Phone

Email*

Kidpower Colorado uses email for enrollment confirmations and communications.

How did you hear about Kidpower?

Select all that apply. Hold CTRL key and click for multiple selections.

If Therapist or "Other" please specify

We love referrals! Tell us which friend/family member referred you.

Enrollment

Are there any health problems or special circumstances that would be helpful to know about your child(ren)?*

Yes

Does your child(ren) have any learning or emotional issues and/or past experience with abuse that would be beneficial for us to know about in preparation for class?*

Yes

If you answered "Yes" to either of the above questions, please explain here.*

This information is secure and will remain confidential but if you would prefer to disclose offline, please call us at (719) 520-1311.

Do you have specific safety concerns for your child(ren)?*

Yes

If yes, please describe your safety concerns:

Total

Starting Strong at Bemis Public Library

Saturday, January 24, 2025 (9:00 -11:15am)

Registration Form

Starting Strong: Bemis Public Library

You are signing up for a waitlisted workshop. Please fill out this enrollment form completely. You will not be charged, and we will contact you with further details and payment information if a spot becomes available.

Child 1 Information

Child 2 Information

Child 3 Information

Contact Information

Enrollment

You are enrolling in a waitlisted workshop and will not be charged at this time.

Starting Strong
at Bemis Public Library