TC Unity Escape Room
Saturday, May 19, 2018
1:45PM - 5:30PM
**Please be on time!
We will be leaving exactly at that time, we will not wait. 


Meeting at the CCF Office
11155 Mt View Ave, Suite 105
Loma Linda, CA 92354
*CCF provides transportation, dinner, and admission.


Please REGISTER BY FRIDAY, MAY 4th , 2018 to reserve your spot.


Sign-ups taken on a first-come basis.
LIMITED SPACE AVAILABLE.

**PLEASE PARENTS/GUARDIANS, MUST DROP OFF AND COME INTO THE OFFICE TO FILL OUT PERMISSION SLIP.


If teen registers and does not attend the event, PARENT IS RESPONSIBLE FOR COST OF ADMISSION.

Teen Patient's First Name *
Your answer
Teen Patient's Last Name *
Your answer
Contact Phone *
Your answer
May We Send You Text Notifications?
Contact Email Address *
Your answer
I understand that I must turn in a permission slip to attend this event. *
I understand that I must be at the CCFSC office BEFORE 2:00PM on May 19th to DROP OFF. *
I understand that I must be at the CCFSC office by 5:30PM on May 19th to PICK UP. *
I understand that I (Parent) will be responsible for the cost of admission if my teen does not attend the trip. *
PARENT'S FULL NAME (This serves as an electronic signature)
Your answer
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