CPI Kids, Youth, and Youth Adults Registration

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CPI Kids, Youth, and Youth Adults Registration

140 Grey St, Brantford, ON N3S 4W1
Contact us at (509) 304-1222 or info@cpiministries.com

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* Indicates required question

Select Appropriate Group *

Pre-Scholar - 2-5

Pre-teens - 6-12

Youth 13-17

Young Adult - 18-29

Full Name *

Your answer

What is your birthday? *

MM

/

DD

/

YYYY

Gender *

Female

Male

If you're a parent signing up for a child please give us your full name, phone number, and email address, otherwise indicate N/A. *

Your answer

Comments and/or questions

Your answer

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