CYEP “Project Success” Registration Form
PARTICIPANTS MUST HAVE PERMISSION FROM PARENT OR GUARDIAN IN ORDER TO PARTICIPATE IN THE PROGRAM.

Group sessions are facilitated by trained instructors who will present workshops using the following evidence-based curricula:

- HYPE (Healthy Youth Prevention Education) https://drive.google.com/file/d/1ZNvWML24dV7yFHr2PBTFXanFzIqgIQyS/view?usp=sharing

- Safe Dates
https://drive.google.com/file/d/0BwNOHAJFqbdlZWo0RklKbFBmaVk/view?usp=sharing&resourcekey=0-SlEI02q36Fc88puxVUW31g

- Be Proud, Be Responsible
 https://drive.google.com/file/d/1f32PFyw0cAZCqLrgMTDceUuvUNsKvczM/view?usp=sharing

For questions, contact Grady Poole at (571) 244-8378 or email: gpoole@cyep.org.

Capital Youth Empowerment Program
950 N. Washington St #350
Alexandria, VA 22314
www.cyep.org 
Sign in to Google to save your progress. Learn more
Email *
Date *
MM
/
DD
/
YYYY
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Capital Youth Empowerment Program. Report Abuse