CCFH Post Adoption Rec & Respite- Sunday April 28 @ 4:30pm @ Old Mill Farm (8794 NC-751, Durham, NC 27713)
Please complete the form below to register. Free dinner will be provided! Spaces are limited and will be confirmed via email. Once spaces fill up, you will be assigned to a waitlist and will be notified if a slot comes available.

Parents are welcome to attend without their children to enjoy the support and company of other parents!

Email Address *
Your answer
Your First and Last Name *
Your answer
Phone Number *
Your answer
County of Residence *
How did you hear about this event? *
Type of adoption (check all that apply; please note this information is required from our funders at NCDSS) *
Number of adults attending *
Your answer
Number of children attending *
Your answer
Name, age, and gender of each attending child
Please list first name, age, and gender of each attending child. Please note that children under 3 must be accompanied by an adult. If you are attending more than one event please note which children are attending each event.
Your answer
Any dietary restrictions or special instructions? *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service