TC BEACH REUNION
Saturday, August 12, 2017
Time: 10am - 10pm

Meeting at the CCF Office
11155 Mt View Ave, Suite 105
Loma Linda, CA 92354
*CCF provides transportation, dinner, and admission.

PLEASE REGISTER BY FRIDAY, August 4, 2017 TO RESERVE YOUR SPOT.

Sign-ups taken on a first-come basis. LIMITED SPACE AVAILABLE.
If teen registers and does not attend the event, parent is responsible for the cost of admission.

Teen Patient's First Name
Your answer
Teen Patient's Last Name
Your answer
Contact Cell Phone
Your answer
Can we text you updates?
Are you a Teen Connection Grad? (19yrs+)
Contact Email Address
Your answer
I understand that I must turn in a permission slip to attend this event.
I understand that I must be at the CCFSC office by 10pm on August 12th for pick up.
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