2019 Westside First Birthday Party
Turning 1 is special, so let's celebrate!! Games, activities, and refreshments for the whole family, as well as resources and programs for you and your family. Join us on August 24 from 12-2:30pm at St Agnes Head Start (2364 W Mound St, 43204).

Fill out this form to RSVP.
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First Name *
Last Name *
Email Address *
By giving us your email, you confirm that we have permission to email you.
Cell Phone Number *
Do we have permission to send you text messages? *
(You will be responsible for all data charges for text messages.)
Zip Code *
What is your baby's birth date? *
MM
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DD
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YYYY
How many people will be attending? *
Include the total amount, including birthday child, parents, other children, or other family members.
How did you hear about this event?
If you heard about us from a Healthcare Provider or another Agency, please tell us which one.
Media / Photo Release *
Central City Church respects your right to accept or decline the sharing of images of you an/or your child. To that end, please read and sign the release below. BY checking "I agree" you are signing your name digitally. Thank you for your consideration.I hereby grant all rights to the church to use my child’s photograph and/or other reproduction of my child for publication purposes, whether print, video, digital, or electronic publishing via the internet. I further agree that any uses described may be made without compensation.I acknowledge the church’s right to crop or treat my child’s photograph at its discretion. I also acknowledge that the church may choose not to use my child’s photo at this time but may do so at its own discretion at a later date. I waive any right that I may have to inspect or approve the copy and/or finished product or products that may be used.
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