The Fatherhood Huddle Registration
Please fill in your details to register for the support group session.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you married?
Married
Single
Divorced
How many children do you have?
How many of your children are autistic or have other disabilities/ support needs?
0
1
2
Prefer not to say
Would you like to share any specific concerns or topics that you need support with as a father of an autistic loved one or a child with disabilities/support needs?
Pledge: By joining this five-week series, I commit to being present and active.
Show up: Attend at least 4 of 5 sessions
Be present: Silence phone and limit distractions.
Engage: Listen well, share, and participate in activities.
Support others: Offer encouragement.
Respect confidentiality:
Practice & reflect: Complete exercises
I Affirm This Pledge - Signature
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Continue
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