| Registration Form: |
| Number of persons registering_________ |
Name(s)
_________________________________ |
Address
_________________________________ |
City
_________________________________
State__________ Zip________________ |
Age(s) as of 7/22/08
________________
Phone(_____)______________ |
High School Attending
_________________________________ |
Grade Next Fall
________________ |
Home Church (if any)
_________________________________ |
Parent's Name
_________________________________ |
| |
Please make checks payable to Christian Resource
Center.
[Office use only: Registration #_____] |