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CTeen Event Registration

CTEEN EVENT RSVP
PARENT/GUARDIAN INFO:
Full Name*

First Name Last Name
Phone Number*
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Number of Teen/s to Register*
TEEN NO.1
Full Name*

First Name Last Name
Birth Date*

Month Day Year
School*
Grade*
Event/s Attending*

Cookies 4 Cops (Oct. 20th)
Any Allergies/Medical Condition/Notes
TEEN NO.2
Full Name*

First Name Last Name
Birth Date*

Month Day Year
School*
Grade*
Event/s Attending*

Cookies 4 Cops (Oct. 20th)
Any Allergies/Medical Condition/Notes
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Total

$0.00

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Credit Card Zelle

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CTeen Danville Registration

CTeen Event RSVP