Event Registration

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CPSM Sunday Nights! on Sunday, January 12, 2025 @ 6:30 PM

Price:

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

Please take a moment to register your student for the school year!

*Date of Birth:

*Grade:

*Gender:

*School:

*Parent/Guardian Name:

*Parent/Guardian Phone Number:

*Parent/Guardian Email:

*List any allergies that we should be aware of. If none, put "N/A"

*List any medications that we should be aware of. If none, put "N/A"

Registration Total: