CCD/Youth Evangelization for School Year 2021-2022
Staggering Start:
7th, 8th & 9th grades start - August 18th with Daring Disciples - 7:30pm - 9:00pm
1st - 6th-grade start - August 25th
10th, 11th and 12th start September 8th
Family Name: *
Email Address: *
Address: *
Father's Full Name: *
Fathers Cell Phone: *
Mother's Full Name *
Mothers Cell Phone: *
Emergency Contact (Other than parent/Legal Guardian) Must Be over 18 *
Emergency Contacts Phone Number: *
How many children will you be registering for Youth Evangelization Grade 1 - 12? *
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