2026 Child Impact Class Registration

2026 CIP Online Registration Form

PLEASE NOTE: All Child Impact Program classes are conducted via live Zoom video conference only and require participants to access Zoom via a device with audio and video capability. ALL CIP CLASSES ARE HELD ON SATURDAYS 9AM – 1PM. Please indicate which Child Impact Program class you are registering for:(Required)
Class size is limited to 18 participants. If the class you are registering for is full, we will contact you. May we automatically register you for the next available class that has a seat open?(Required)
Name(Required)
Address(Required)
MM slash DD slash YYYY
Name of Co-Parent(Required)
Is there a history of domestic violence or abuse in this relationship, or a restraining order filed in this case? (If yes, co-parents are not permitted to attend the same CIP class.)(Required)
Are you comfortable attending the CIP class with co-parent? (NOTE: co-parent attendance in the same class is at the discretion of the CIP program provider.)(Required)
Do you need a foreign language interpreter?(Required)
Do you need a sign language interpreter?(Required)
Are you seeking a CIP class fee reduction to $50 on the basis of need? You will be required to submit a photocopy of your NH EBT (Food Stamps Program) and/or Medicaid card to qualify.(Required)
Are you seeking to have the CIP class fee waived entirely on the basis of need (low/no income)? You will be required to submit a State of NH Financial Affidavit (see link below).(Required)
CLICK HERE to open the official State of NH Financial Affidavit form in a new browser tab
Max. file size: 80 MB.