St. John's UCC, Fullerton CELC 2019-2020 Registration Form
Please fill this form, after completing make sure to hit the SUBMIT button or all data will be lost. Thank you for choosing our Center!
Email address *
First Child's information
Please fill in your first child's information here.
Student Last Name *
Your answer
Student First Name *
Your answer
Age *
Birthdate *
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DD
/
YYYY
Gender *
Home phone number *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Will you be registering another Child? *
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