Small Acts. Big Impacts.

CI Academy Activities

For more than 25 years, City Impact programs have been making a difference for under-served Lincoln families.

Kingdom Kids

Next Session Beginning February 6
Tuesdays 3:35 PM – 5:45 PM
Thursdays 5:30 PM – 7:00 PM
K-8th Grade Students

Embark your child on an exciting journey of faith, fellowship, and growth through Kingdom Kids!

Through our Kingdom Kids, City Impact partners with parents in the discipleship of K– 8th-grade students to teach them to view themselves as God sees them and to help them develop the rhythms and discipline of a lifelong pursuit of Christ.

Kingdom Kids features playful activities, prayer, great Christian facilitators, and an interactive game-based curriculum.

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CI Literacy

Next Session Beginning February 5
Mondays 5:15 PM – 7:15 PM
Wednesdays 5:15 PM – 7:15 PM
K-8th Grade Students

Unlock your child’s limitless potential through CI Literacy, where words become transformative adventures.

Through CI Literacy, we help children cultivate a love for reading, enhance their critical thinking, and strengthen their growth mindset through literary experiences.

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I Want To Volunteer

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CI Academy Application

Complete the CI Academy Application Form below to apply for CI Academy programs. CI Academy Programs are open to all Kindergarten thru 8th Grade students.

Choose A Program(s)

Which program(s) are you applying for? *Kingdom KidsCI Literacy

You’re applying for CI Bible Club: HIDDENCI Bible Club Thursdays

Which CI Literacy program are you applying for (Choose ONE date)? - ORIGINALCI Literacy Mondays (3:15 PM – 5:45 PM)CI Literacy Tuesdays (3:45 PM – 6:00 PM)

Which CI Literacy program are you applying for (Choose ONE date)? HIDDENCI Literacy Mondays (5:15 PM – 7:15 PM)CI Literacy Wednesdays (5:15 PM – 7:15 PM)

Student Information

Student Contact Information

Student First Name *0 / 80

Student Last Name *0 / 80

Student Date of Birth *

What school does the child attend?0 / 100

Child’s Grade in School *

Child’s Reading Level

Do you give permission for City Impact to contact the students school/teacher? *YesNo

Student Ethnicity? *

Student Address *0 / 80

Student Address 20 / 80

Student City *0 / 80

Student State *

Student Zip *0 / 5

Do you give permission for City Impact to use your child's photograph/image for marketing purposes? *YesNo

Parent/Guardian Information

Parent/Guardian First Name *0 / 80

Parent/Guardian Last Name *0 / 80

Parent/Guardian Email *

Parent/Guardian Phone *0 / 12

Is Parent/Guardian address the same as the students address? *YesNo

Parent Address *0 / 80

Parent Address 20 / 80

Parent City *0 / 80

Parent State *

Parent Zip *0 / 5

Emergency Contact Information

Emergency Contacts

Emergency Contact First Name *0 / 80

Emergency Contact Last Name *0 / 80

Emergency Contact Phone *0 / 12

Emergency Contact Email

Questions

Help us get to know your child a bit before the program begins.

Answer the following questions. We’re looking forward to working with you and your child! Partnering with us is vital to the success and development of your child in the program.

City Impact Employee who referred you?

CI Employee First Name

CI Employee Last Name

What is your Family Size? *

Does your child qualify for Free & Reduced Lunch? *YesNo

Does your child attend a Title One School? *YesNo

What are the top 3 things you want your child to get out of the program? *0 / 100

What are some of their interests? *0 / 100

What are some of their dislikes? *0 / 100

Does your child have any allergies, including food(s)? *YesNo

Please provide some details about their allergies.0 / 100

Does your child have any health concerns, health conditions, or special needs? *YesNo

Please provide some details about their health concerns, health conditions, or special needs.0 / 100

Will your child be taking any prescribed medication during program? *YesNo

Please list prescribed medications your child is taking:0 / 100

My child can be dropped off/picked up by the following people:

Drop-Off/Pick-Up Contact First Name0 / 80

Drop-Off/Pick-Up Contact Last Name0 / 80

Drop-Off/Pick-Up Contact Email

Drop-Off/Pick-Up Contact Phone *0 / 12

Relationship to the child?

Waiver Agreement

Students Doctor's Name0 / 100

Students Doctor's Phone0 / 12

Name Of Your Preferred Hospital0 / 100

Attendance Policy Consent

Our attendance policy is as follows:

All CI Academy Programs

Students must arrive on time at City Impact.
Students must be picked up promptly at the conclusion of the program.
If a student is absent 3 times during the program, with no parent communication to staff, a decision may be made to dismiss them from the program.
To be eligible to take part in Gifts of Love 2024, students need to be registered for the Spring 2024 session by February 19 in order to accrue points.

CI Literacy

Program will be on Mondays and Wednesdays and begin at 5:15 PM and end at 7:15 PM.

CI Kingdom Kids

Program will be on Tuesdays 3:35-5:45PM/Thursdays 5:30-7:00PM.

Do you agree with this attendance policy? *YesNo

You declined consent to the attendance policy,

Someone from our staff will contact you to discuss.

Signatures

Students Full Name *By completing this field you are enering a legal "Digital Signature".0 / 80

By checking this box I am providing my digital signature indicating my acceptance of terms within this agreements, and any indicated related agreements. *Students Digital Signature

Parents Full Name *By completing this field you are enering a legal "Digital Signature".0 / 80

By checking this box I am providing my digital signature indicating my acceptance of terms within this agreements, and any indicated related agreements. *Parents Digital Signature

Send me CI Academy Program email news and updates: *YesNo

Small Acts. Big Impacts.

CI Academy Activities

For more than 25 years, City Impact programs have been making a difference for under-served Lincoln families.

Kingdom Kids

Next Session Beginning February 6
Tuesdays 3:35 PM – 5:45 PM
Thursdays 5:30 PM – 7:00 PM
K-8th Grade Students

Embark your child on an exciting journey of faith, fellowship, and growth through Kingdom Kids!

CI Literacy

Next Session Beginning February 5
Mondays 5:15 PM – 7:15 PM
Wednesdays 5:15 PM – 7:15 PM
K-8th Grade Students

Unlock your child’s limitless potential through CI Literacy, where words become transformative adventures.

CI Academy Application

Complete the CI Academy Application Form below to apply for CI Academy programs. CI Academy Programs are open to all Kindergarten thru 8th Grade students.

Choose A Program(s)

Student Information

Parent/Guardian Information

Emergency Contact Information

Questions

Waiver Agreement

Attendance Policy Consent

All CI Academy Programs

CI Literacy

CI Kingdom Kids

Signatures

City Impact Programs

Resources

Support

Legal

Stay Up-To-Date

Small Acts. Big Impacts.

CI Academy Activities

For more than 25 years, City Impact programs have been making a difference for under-served Lincoln families.

Kingdom Kids

Next Session Beginning February 6Tuesdays 3:35 PM – 5:45 PMThursdays 5:30 PM – 7:00 PMK-8th Grade Students

Embark your child on an exciting journey of faith, fellowship, and growth through Kingdom Kids!

CI Literacy

Next Session Beginning February 5Mondays 5:15 PM – 7:15 PMWednesdays 5:15 PM – 7:15 PMK-8th Grade Students

Unlock your child’s limitless potential through CI Literacy, where words become transformative adventures.

CI Academy Application

Complete the CI Academy Application Form below to apply for CI Academy programs. CI Academy Programs are open to all Kindergarten thru 8th Grade students.

Choose A Program(s)

Student Information

Parent/Guardian Information

Emergency Contact Information

Questions

Waiver Agreement

Attendance Policy Consent

All CI Academy Programs

CI Literacy

CI Kingdom Kids

Signatures

Next Session Beginning February 6
Tuesdays 3:35 PM – 5:45 PM
Thursdays 5:30 PM – 7:00 PM
K-8th Grade Students

Next Session Beginning February 5
Mondays 5:15 PM – 7:15 PM
Wednesdays 5:15 PM – 7:15 PM
K-8th Grade Students