Request for Registration Appointment

* Indicates required field

If yes, what language do you prefer to communicate in?

Would you like a language translator to assist you and PDHC in communicating?

Yes

No

Please type your full name below if you agree

I understand that this is the first step in registering for PDHC Parenting Classes, and I agree to have the PDHC Team text, email, and/or call me to finish the registration process before taking classes.

In the chart above, find the number of people in your household. If you think you may be pregnant, be sure to include the unborn baby. Is your household income (before taxes) at or below the amount listed?

Yes

No *If your household income is above the amount listed, please understand you are still encouraged to take parenting classes for educational purposes, but you are not eligible to receive material aid.

If you were referred by a friend, please type their name below:

I am interested in:

In-person parenting classes

Online parenting classes

Either

Which PDHC class location is closest to you?

Family Empowerment Center - 665 East Dublin Granville Rd, Columbus, OH 43229

West Center - 4111 West Broad St, Columbus, OH 43228

Lancaster Center - 3030 Columbus-Lancaster Rd NW, Lancaster, OH 43130

I have been to PDHC for THIS pregnancy

Yes

No

Not yet, but I need help with other pregnancy related services

Babies Due Date or Birthday required

Additional Birthday

Additional Last Name

Additional First Name

I am a Mom/Dad wanting to take classes

Mom

Dad

Both Parents

Phone

Email

Birthday required

Last Name

First Name

Program Registration

Join us and other parents to talk and learn about taking care of yourself and your baby. You will find a safe space to share your experiences, learn coping strategies, and develop new parenting skills. This program is for expecting and new parents of infants up to 8 months. Parents can remain in the program until baby is 12 months of age.

Get Started

After pre-registering for the Family Empowerment Program, a PDHC staff member will contact you within 30 days to schedule a convenient time to finalize the program process in person.

Pre-register today by completing the form below.

We will look forward to meeting you and having you in the Family Empowerment Program (online, in-person or both)!

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Request for Registration Appointment

Program Registration

Program Registration