Moved recently? Got a new phone number? Need to update your email Address?

We’ve got you covered! Fill out this simple form to stay connected to everything that’s happening at Capitol Hill Assembly!

Name

First Name

Last Name

Mobile Phone

(###)

###

####

Home Phone

(###)

###

####

Birth Date

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have children under 18 living at home?

Yes

If Yes, please list their first and last names, birth dates, and school grades.

If you have a child who is age 16 or older who attends CHA, has a mobile phone number, and/or email address, list them in your household, but please have them submit their own contact information form. Thank you! - CHA Staff