Christian Service Brigade Registration
Christian Evangelical Church in Livingston
Christian Service Brigade
71 Old Road Livingston NJ 07039
ceclinfo@gmail.com
www.ceclivingston.org/csb
Child Name *
Your answer
Child Birthdate *
Your answer
Child Grade *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Parent or Guardian Name *
Your answer
Parent or Guardian email *
Your answer
Parent or Guardian Cell Phone *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Note: There is a registration fee of ??? to cover the cost of the CSB shirt.
Shirt Size required *
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