CIA Registration Form
Children in Action (CIA) will meet Sunday nights from 6-7 pm at Calvary Baptist Church. (Classes will be available for ages infant through 6th grade.)
This email is incorrect. I don’t have a child here and I’ve tried to remove my email from your list. I think you’re looking for Brian Rizor, I’m Brooke. I’m sure we are distantly related but this email is not going to him *
Your answer
Child's Date of Birth *
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DD
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Age/Grade *
Parents Name *
Your answer
Address *
Your answer
Phone *
Your answer
e-Mail *
Your answer
special instructions or allergies *
Your answer
List all who could be picking your child up from CIA? (Name and Relation) *
Your answer
Do you attend Noah's Ark Daycare? *
Do you have a church home? (and Where?) *
Your answer
Do we have permission to photograph your child? *
Do we have permission to use photographs online to promote CIA? *
Child's Shirt Size
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