CORE ACTIVITY REGISTER
DATA COLLECTION FORM
Core Activity
Locality
Neighbourhood (if applicable)
Community Sector
Please Select
Central
Downtown
East
North
South
West
Name of Host/Tutor/Teacher(s)
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
Total no. of Participants
No. of Bahá’í Participants
List of Participants
First Name
Family Name
Sex (F/M)
Age / Date of Birth
Registered Bahá'í (Y/N)
Locality
(if not Calgary)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Submit
Should be Empty: