Fathers In Touch Registration Form
Welcome to our Fathers In Touch group. Please fill out our registration form. The information participants share in this form is for the records of Capital Youth Empowerment Program (CYEP) and will not be shared with outside service providers unless the participant authorizes consent.
First and Last Name
Date of Birth
Address (Street, City and State)
Which class are you registering for?
Fairfax County Class- Fall 2020
Alexandria Class- Fall 2020
DC Class-Fall 2020
Arlington Class-Fall 2020
Young Dads Alexandria Class- Spring 2021
DC Class-Spring 2021
Never submit passwords through Google Forms.
This form was created inside of Capital Youth Empowerment Program.