CCFSC Picnic Registration
SUNDAY, June 9, 2019
10 a.m. - 1 p.m.

1401 Iowa Ave, Riverside, CA 92501

Registration closes June 5, 2019. For registered CCFSC families only.

Patient's First Name *
Your answer
Patient's Last Name *
Your answer
Email Address *
Your confirmation email will be sent here.
Your answer
Phone Number *
Your answer
May We Send You Text Notifications/Updates?
Number of Adults Attending *
Number of Children Attending *
Agreement to Attend *
By registering for this event, you agree to attend. If you do not attend and do not notify CCFSC, this will affect your opportunity to attend future events.
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