CCD Registration Form


United States
Student Information
City, State and Zip
Parental Information
Name and Phone Number Other Than Parent
Please type your name to give permission for your child to participate.

A $30 registration fee is due along with the submission of this form. Please check your email to pay online or bring the fee to the church office at 401 21st Street.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.