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Central Valley Christian School
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Visitation Day Registration
Your student is invited to attend our school on Visitation Day. It is a time we have devoted to letting your student try out Central Valley Christian School for free and for fun! Just fill out this form if your student would like to visit.
Contact Information
Student Name:
*
Age:
Grade:
*
*
Parent's Name:
Email Address:
*
Day Phone:
Cell Phone:
*
Parent's Name:
Email Address:
Day Phone:
Cell Phone:
Emergency contact if parents cannot be reached:
Name:
Relationship:
*
*
Day Phone:
Cell Phone:
*
Medical Information
Medical concerns
we should know:
Allergies:
Other Information
How did you
hear
about our
school?
*
My child will be
at CVCS from:
Select One:
*
8:30-3:30
8:30-12:30
Other (please specify below)
Date:
Time:
Enter code:
*
Enter the code in the graphic below to help eliminate spam entries.
Message:
or
* indicates a required field.
31630 Highway 34 • Tangent, OR, 97389-9725 • 541-928-7820
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