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First Name *

Last Name *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Email Address *

Phone Number *

Cell Phone Number

Gender
Female
Male

Age *

Race

Relationship Status

Are you a father *
Yes
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What Kind Of Care Taker Are You?

What Is Your Involvement With Your Children?

Do you require dietary restrictions or special needs? *
Yes
No

Handicap Needs *
Yes
No

How Many Years Have You Previously Attended The DDD Summit?

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The DFFC builds upon the efforts of the community to increase community collaboration and strengthen resources which support the involvement of fathers in the lives of their children promotes effective co-parenting..

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