New Castle Co. March Dadness Roller Skating Edition

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

Email* This field is required.

example@example.com

4

Age* This field is required.

5

County you currently reside?* This field is required.

New Castle

Kent

Sussex

7

Please select what best describes your race or family background:* This field is required.

African American

American Indian/Alaskan Native

Caucasian

Hispanic

Asian

Other

8

Number of Guest(s):

9

Number of children * This field is required.

10

Are you aware of the Delaware Fatherhood and Family Coalition?

YESNO

11

Have you ever participated in a Delaware Fatherhood and Family Coalition event including a county coalition leadership meeting?

YESNO

12

Are you a member of the Delaware Fatherhood and Family Coalition?

YESNO

13

How would you rate your level of knowledge of the Delaware Fatherhood and Family Coalition?

14

How do you rate the level of importance of a father's involvement in the lives of a child(ren)?

17

Are you aware of the positive impact on a child's development when parents effectively co-parent?

18

How would you rate your level of awareness of the importance of effective co-parenting in the life of a child(ren)?

19

Do you believe you have knowledge to speak to others about the importance of father involvement?

20

Do you believe you have the knowledge to speak to others about the importance of effective co-parenting?