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Registration Form
1.
*

Name of Individual registering

2.
*

Name of Organization

3.
*

Address

4.
*

City, State, Zip

5.
*

Organization's Phone (Please be sure to include area code.)

6.
*

Contact Person

7.
*

Contact person's email

8.
*

Contact person's phone number

9.
*

Contact person's cell phone number

10.
*

Dates you plan to participate

11.
*

Cost package you plan to use

12.
*

Number of adult participants

13.
*

Number of youth participants

Please Note:  There must be 1 adult per 7 youth. 

MINISTRIES YOU MAY CHOOSE

14.

Comunity Block Parties (PM only)

AM PM
15.

Construction Ministry

AM PM
16.

Paint the Town

AM PM
17.

Greenville Areia Interfaith Hospitality Network

AM PM
18.

Soup Kitchen (AM only)

AM PM
19.

Nursing Home Ministry

AM PM
20.

Park Ministry

AM PM
21.

Performance Ministry

AM PM
22.

Prayer Walks

AM PM
23.

Sports Camps

AM PM
24.

Lead/Participate in Worship (PM only)

AM PM
25.

Backyard Bible Clubs/Vacation Bible School

AM PM
Type in the text that you see above:
  

* items are required fields. 

Central Community Ministries
629 Summit Drive
Greenville, SC 29609

Phone: 864-232-9797
ccmsc@ccmsc.org
Mailing Address:
PO Box 2392
Greenville, SC 29602
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