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CCYSF Registration Program 2024-2025
Please complete the form and wait to be contact to moving forward with payment.   Please see the site locations below for your information.
Copperfield Place-7062A Lakeview Haven Dr STE 102, Houston, TX 77095
Contact us at info@connectcommunityouth.org
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Program of Interest 
Summer Session - 2025
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Student First  *
Student Last Name
 *
T-Shirt Sz *
Required
GRADE LEVEL *
Name of School child attends *
Parent Name
Parent's email address *
Parent's Phone Number
Street Address *
City, State, Zip
School Year *
Required
SPRING BREAK SESSION @ COPPERFIELD PLACE
Type of Session:
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I understand that I am responsible for registration fee is due ASAP to secure spot and completed payment by the beginning of the first day of March so my youth will  ensure my desired time/date.   *
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Questions, Comments or Concerns
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