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Safe Center Program Application
Thank you for agreeing to help us make St. Cyprian's Church - ad the Cyprian's Center - a safer place for all who use this building. Please complete this application form to sign up for the 'Learn to Protect' online training program. Once this form is submitted, we will create you user ID and you will receive information on which courses are required.
Email address *
Group *
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Position in group *
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First name: *
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Last name: *
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Cell phone: *
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Address: *
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Address 2
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City: *
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State: *
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Zip code: *
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Preferred user name:
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Cyprian's Center & Church
A copy of your responses will be emailed to the address you provided.
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