Broward Healthy Start Coalition offers a Fatherhood program (T.E.A.M. Dad). The program includes several services that would allow Dad to help with his child’s development and give him access to classes that provide financial education, parenting information and much more. We would appreciate the chance to speak with you more about T.E.A.M. Dad.I, (printed name), hereby give consent and permission for representatives from the T.E.A.M. Dad program to contact me to learn more about the program and determine eligibility. By consenting to be contacted (or consenting for my son if he is a minor) and submitting my information, it does not mean that I am automatically enrolled in the program, and I will still need to meet requirements to be accepted. I also understand that any information shared will be held confidentially and I can decline services at any time.I have read this Consent before signing or verbally agreeing to be referred and fully understand the contents, meaning and impact. I understand that I am free to address any specific questions and have done so prior to signing this Consent.