Enroll A Child

Please fill out the enrollment form completely. If a question does not apply to your child write N/A (not applicable).

General Information

Date of Admission

Age at Admission

Date of Discharge

Reason for Discharge

Child's full name

Date of Birth

Address

City

Zip

Telephone Number

Nickname

Primary Language of Child

Primary Language of Parents

Name of Parent(s)/ Guardian(s)

Home address (if different)

Telephone Number

Emergency Contact / Authorized pick-up person

(1) Name

Address

Telephone Number

Cell Phone

(2) Name

Address

Telephone Number

Cell Phone

other ways to get involved

Whether you get involved with The Bryant Helen Foundation as a donor, sponsor, mentor, partner, or advocate you have the chance to change a child’s future for the better.

About

The Bryant Helen Foundation provides services and resources to fatherless children and youth. Our mission is to help children with absent father’s become independent and productive members of society through mentorship, advocacy, and community partnerships.

Latest News

Programs

Contact Us

Address:

1700 Northside Drive NW, Suite A7 PMB 1547, Atlanta, GA 30318

Email:

info@bryanthelenfoundation.com