2010 Fatherhood Summit Registration Form
* Required information for all MFI attendees.
Copyright Milwaukee Fatherhood Initiative 2010
First Name*
Last Name*
Date of Birth*
Address*
Zipcode *
Phone
Email
Will this be your first time attending the Milwaukee Fatherhood Summit?
What is your age group?
How many children do you have?
What is your gender?
Are you employed?
What is your ethnicity?
How did you hear about the summit?
You must pre-register to receive child support and driver’s license recovery assistance.
Child Support Debt Reduction Assistance Registration
I would like to sign up to talk with someone about my child support issues.
Driver’s License Recovery Assistance Registration
I would you like to sign up to talk with someone about my driver’s license issues.
