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