THRIVE Student Registration
THRIVE Youth Group
Cool Community Church
863 Cave Valley Road
Cool, Ca. 95614
Email *
2019-2020 Student & Family Information
Please fill out one online form for each student that will be attending THRIVE Youth Group
Student Last Name *
Student First Name *
Student's Birthdate *
MM
/
DD
/
YYYY
Address *
Street, City, State & Zip of primary residence of student
Primary Home Phone Number *
Parent/Guardian Contact Information *
Additional Parent/Guardian Contact Information
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