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AlwaysConnected helps nonprofits manage 116 pages for events, reports, surveys, registrations, notes, budgets, reminders, and shared forms in one place.

Empower The Block | AlwaysConnected

Contact Information

Full Name *

Email Address *

Phone Number *

ZIP Code

County

Event Information

How did you hear about Empower the Block?

Child(ren) Information

Child(ren)'s Name(s)

Child's Birthdate

School

Child's County

Backpack Needed?

School Supplies Needed?

Shoe Size(s)

Clothing Size(s)

Family Interests

What topics, programs, or opportunities would you like to learn more about? (Select all that apply)

About You

Which best describes you? (Select all that apply)

Gifts & Community Engagement

What gifts, talents, skills, trade, profession, or experience could you share with our community?

Staying Connected

How would you like to stay connected after today's event? (Select all that apply)

Event Outcomes

When you leave Empower the Block, what do you hope to take with you? (Select all that apply)

Father & Male Role Model Engagement

Will a father or positive male role model attend Empower the Block with your family?

Yes

No

Maybe

Follow-Up

I would like information about the upcoming Father-Daughter Summit and other fatherhood and family programs.