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Project ALPHA
Project Alpha is a seminar program that was founded by Alpha Phi Alpha Fraternity, Inc. and the March of Dimes. The seminar provides an environment where young males can learn about sexuality, manhood and relationship issues. Young males will receive information on problem-solving skills and share their own experiences in an all-male setting. The target audience is young men in the age range of 12 to 17 years old. If you would like to attend the upcoming Project ALPHA, please fill out the forms below:
The field marked with (*) are required fields.
* Today's Date
* Son's First Name
* Son's Last Name
Date of Birth
Age
Race African American
Asian
Caucasian
Hispanic
Native American
Other
Email Address
* Address
* City
* State
* Zip Code
* Phone Number
Cell Number
Church Affiliation
* Please indicate the school in which your son is enrolled:
* Parent's Name:
* All parents must complete the following information to comfirm their son's participation in the upcoming Project ALPHA. Select all that apply: Yes, I would like my son to participate in Project ALPHA
Yes, I am requesting assistance with transportation
Yes, I understand that registration is FREE
Yes, I understand that Lunch and Snacks are provided
If you would like to provide additional information or comments, please feel free to add them within the designated box:
Please download the attached Jpeg file and complete the Participant Consent Form. Once completed, mail or fax the form to Baton Rouge AIDS Society, 4560 North Blvd., Suite 100, Baton Rouge, LA 70806, (fax:225-923-8042).
Project Alpha Participant Consent Form
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