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Program Registration

Program Registration

This form can be used to make a payments/register to the Friendship Circle for: Trips, Events, Etc.

First Name

Last name

Address
City
State

Zip Code


Phone


E-mail

Please check off the events/programs you would like to register or make a payment for:

Sunday Circle - Full Session

$150 per child

     

Teen Scene $15 per teen
     
Winter Camp $200 for session
     
Other  

 

Name(s) of Participants

Comments:

Payment Info:

Amount to charge
Invoice # (if applicable)


Credit Card #
Expiration
CVV

 

 

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