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The Journey

Fill out this simple form to register for The Journey Courses at CCC...

  

* Required in order to register
  Name (First, Last) *    
  Spouse    ***  Please register separately.    
  Contact Email *  
  Contact Phone *  
  Course(es) you are attending Please pick ONE from this set...

   

OR up to two from this set...

   
   
 
   
If your children will be participating in XCELR8, please provide their info below
 
  Child Info Name:
    
Age:
    
Allergies, comments, etc:
    
 
  Child Info Name:
    
Age:
    
Allergies, comments, etc:
    
 
  Child Info Name:
    
Age:
    
Allergies, comments, etc:
    
 
  Child Info Name:
    
Age:
    
Allergies, comments, etc:
    
 
  Child Info Name:
    
Age:
    
Allergies, comments, etc:
    
 
     
 
You will receive the a confirmation email at the address you provided.  If you have any questions, contact Mark
 



Cascade Covenant Church - www.cascadecov.com - 13225 436th Ave SE/PO Box 331 - North Bend, WA 98045 - 425.831.6222