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.
Date *
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DD
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First and Last Name *
Date of Birth *
Address (Street, City and State) *
Phone Number *
Which class are you registering for? *
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