Join the Council

We would like you to become a member of the Eighth Judicial Circuit

Family Violence Prevention Council.

Members receive our quarterly newsletter and information on upcoming events.

To join the Council, please fill out and submit the following form:

Contact Information
First Name : 
Last Name : 
Address : 
City : 
State : 
Zip : 
Phone : 
E-mail Address : 
 
I am interested in the following focus areas :
Domestic Violence : 
Child Abuse : 
Suicide : 
Elder Abuse : 
Teen Dating Violence : 
Youth-Led Initiatives : 
 
I am interested in assisting on the following committees:
Education    
Committee: 
Regional Summit    
on Violence Committee : 
Clergy       
 Committee: 
Steering     
 Committee :