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CENTRAL CONNECTICUT STATE UNIVERSITY
HEALTHYfellows / Man Enough Support Initiative
7th Annual
Young Men’s Health &
Wellness Forum
Fathers & Sons:
Why Fathers Matter
The MESI Young Men’s Health & Wellness
Forum will bring together fathers and sons,
agencies, and leaders in the field for a full
day discussion on the relevance of fathering
relationships. The forum will consist of
panel presentations, open discussions, and
separate breakout sessions where adults
and youth can safely explore the central
forum topics (e.g., incarceration, custody,
reunification, mentoring, health, services,
etc.). The forum is free and open to the
public.
SATURDAY, APRIL 18, 2015
Lunch provided
CENTRAL CONNECTICUT STATE UNIVERSITY
CONSTITUTION ROOM, MEMORIAL HALL
CCSU Man Enough Support Initiative is an inter-department
collaborative. MESI exists as a campus-wide student and faculty
initiative that seeks to partner with campus departments and
community organization in order to improve the health and
education of Connecticut’s young men.
Information
Contact:
William Fothergill
(860) 832-1639
Registration:
Kyle Leonard
leonardkyp@my.ccsu.edu
● Registration 8:30 AM
● Program: 9:00 AM
Due to limited space, all guest are encouraged to register
by the Friday, April 10, 2015 deadline. Organizers cannot
guarantee acceptance at the forum after the deadline or
once we have reached our maximum capacity. Complete
registration form and email it to the email address provided.
Sponsors: HEALTHYfellows / Man Enough Support Initiative, Office of
Diversity & Equity, Center for Africana Studies, Office of Student Affairs,
and the Institute for Municipal and Regional Policy
CENTRAL CONNECTICUT STATE UNIVERSITY
HEALTHYfellows / Man Enough Support Initiative
7th Annual Young Men’s Health & Wellness Forum
Registration Form
Due to limited space, all guests are encouraged to register prior to the April 10, 2015 deadline.
Organizers cannot guarantee attendance at the forum after the deadline or after maximum event
occupancy. Prior to the forum, the event organizers will confirm the receipt of your registration
form.
Name _________________________________________________________________________________________________
Organization / Agency _____________________________________________________________________________________
Address ________________________________________________________________________________________________
City _________________________________________________ State _________________ ZIP ________________________
Phone (Work) _________________________________________ (Cell) ____________________________________________
Email _________________________________________________________________________________________________
INDIVIDUAL REGISTRATION
CCSU Student / Faculty
Adult
Youth Student (12yr -17yr)
Youth under the age of 15 yr. must be accompanied by an adult.
Group Registration
(Print)
N
A
M
E
S
Presenter (P)
Adult (A)
Youth (Y)
Staying for
lunch (√)
1
2
3
4
5
Email Completed Registration Form To:
Kyle Leonard
leonardkyp@my.ccsu.edu
Contact Organizer
William Fothergill
(860) 832-1639
Organization use only:
Date Received _____________
No ____________
HEALTHYfellows/ Man Enough Support Initiative
7th Annual Young Men’s Health & Wellness Forum
FATHERS & SONS: WHY FATHERS MATTER
Participating Partners & Programs
Central Connecticut State University
Institute for Municipal & Regional Policy
HEALTHYfellows / Man Enough Support Initiative
Office of State Representative Robert Sanchez
Commission on Children State of Connecticut / Fatherhood Advocacy
Department of Social Services; John S. Martinez Fatherhood Initiative
Charter Under Construction: Delivering All Dads Spiritually
Real Dads Forever
Community Renewal Team: Real Fathers
The Village for Family & Children: FatherWorks
Yale New Haven Hospital
African Caribbean American Parents of Children with Disabilities
My People Clinical Services