Teen Talk Foster Youth | Sex Ed Series Enrollment

Requirements for participating youth:

Participants need to...

Be in foster care in California (ie. youth has social worker and/or suitably placed through probation)
Be between the ages of 12 - 17, or 18 and enrolled in high school
Have access to Zoom (headphones recommended for added privacy)
Have a non-school related email to receive series information and reminders

Here is the schedule of our upcoming and available Teen Talk: Foster Youth online sex education series. Please select the option that works best with your schedule.

[OPEN] Fall Series 2026

Duration: Two weeks, Monday - Friday

Meeting Dates: 11/2-11/13

Meeting Time: 4:00 PM - 5:00 PM

The information submitted in this form is kept securely by Planned Parenthood Pasadena and San Gabriel Valley who manages this enrollment system. This information will not be connected to any existing or future health records.

Upon completion of the Teen Talk Foster Youth Series, a certificate of completion will be sent to the participant and their social worker as proof of SB 89 completion.

Series you are enrolling in

Applicant Information

What is your relationship to the young person being enrolled? Please provide additional information about yourself.

I am:

Applicant First Name

Applicant Phone Number

Applicant Email Address

Applicant Last Name

How can we reach you?

Would you like to be added to an email list to be notified of future Teen Talk: Foster Youth workshop series?

YesNo

How did you hear about this program?

How Many Youth Are You Enrolling? You may enroll up to 3 for the same program at once.

Page 2

First Youth Participant

Youth Information

Who is enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

(1) Youth Legal First Name

(1) Youth Legal Last Name

(1) Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

(1) Youth Phone Number

Thank you for your interest in enrolling in the Teen Talk: Foster Youth program! We need a little more information from you to complete your enrollment.

(1) Youth Preferred First Name

Provide youth's preferred first name if different than youth's legal first name

(1) Youth Preferred Last Name

(1) Youth Age

(1) What county does the youth live in?

Social Worker Information

Who is the enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead. We need this information to determine if the youth is eligible to participate.

(1) Social Worker's First Name

(1) Social Worker's Last Name

(1) Social Worker's Email Address

(1) Social Worker's Phone Number

Thank you for enrolling a youth in the Teen Talk: Foster Youth program! We need a little more information from you to complete your enrollment.

(1) Social Worker's County

Second Youth Participant

Who is the second youth you are enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

(2) Youth Legal First Name

(2) Youth Legal Last Name

(2) Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

(2) Youth Phone Number

(2) Youth Preferred First Name

Provide youth's preferred first name if different than youth's legal first name

(2) Youth Preferred Last Name

(2) Youth Age

(2) What county does the youth live in?

Who is the second enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead.

(2) Social Worker's First Name

(2) Social Worker's Last Name

(2) Social Worker's Phone Number

(2) Social Worker's Email Address

(2) Social Worker's County

Third Youth Participant

Who is the third youth enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

(3) Youth Legal First Name

(3) Youth Legal Last Name

(3) Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

(3) Youth Phone Number

(3) Youth Preferred First Name

Provide the youth's preferred first name if different than youth's legal first name

(3) Youth Preferred Last Name

(3) Youth Age

(3) What county does the youth live in?

Who is the third enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead.

(3) Social Worker's First Name

(3) Social Worker's Last Name

(3) Social Worker's Email Address

(3) Social Worker's Phone Number

(3) Social Worker's County

Thank you for your interest in our Teen Talk: Foster Youth sex education series! Please click the "Register for Class" button below to submit your application.

We look forward to meeting you soon!

For Teen Talk: Foster Youth specific concerns or questions, please contact us at: fosteryouthprograms@pppsgv.org