CSCBC Children's Movie/Activity Night
This event will be on 10/17 (Saturday) at 7:15 PM. We will be showing Mulan (PG) and having an assortment of socially distanced outdoor activities.
Please fill this form out to let us know you are attending Movie Night!
Child 1 Name *
Child 2 Name
Child 3 Name
Are you attending Movie/Activity Night? *
Has your child presented any symptoms of COVID-19? (Coughing, Shortness of breath, Fever/Chills, Sore throat, etc.) *
Have you or your child been in contact with anyone with COVID-19 in the past week? *
Parent's Name *
Emergency Phone Number of Parent *
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