TC Sunny Jim's Cave
Saturday, June 23
9:00am - 6:00pm
Meeting at the CCF Office
11155 Mt View Ave, Suite 105
Loma Linda, CA 92354
*CCF provides transportation, dinner, and admission.

PLEASE REGISTER BY FRIDAY, June 15th, 2018 TO RESERVE YOUR SPOT.

Sign-ups taken on a first-come basis. LIMITED SPACE AVAILABLE. If teen registers and does not attend the event, parent is responsible for the cost of admission.
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Teen Patient's First Name *
Teen Patient's Last Name *
Contact Phone *
Contact Email Address *
I understand that I must turn in a permission slip to attend this event. *
I understand that I MUST BE ON TIME. I must be at the CCFSC office by 9:00am on June 23rd to DROP OFF my child. *
I understand that I must be at the CCFSC office by 6:00pm on June 23rd to PICK UP my child. *
I understand that I (Parent) will be responsible for the cost of admission if my teen does not attend the trip. *
PARENT'S FULL NAME (This serves as an electronic signature)
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