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CFC Directory Form

First Name *

Last Name *

Your Phone # *

Your Email Address *

Your Birthday *

Street Address *

City *

State *

Zip Code *

Single/Household *

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Spouse Name

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Spouse Phone #

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Spouse Email Address

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Spouse Birthday

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Children

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Child 1 Name

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Child 1 Birthday

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Child 2 Name

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Child 2 Birthday

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Child 3 Name

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Child 3 Birthday

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Child 4 Name

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Child 4 Birthday

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What month/year did you start attending CFC? *

Any other information you would like to share?