New Child Impact Class Registration

Updated 2025 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)
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.