CCF Home School Registration Request
Name of Parent(s)/Guardian
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Last
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Last
Name of Child/Children:
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Last
Grade:
K
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Church We Attend
Pastor & Pastor's Email
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Your Contact Information
Home Phone
Work Phone
Matters of Faith
I have read and agree with the CCF Statment of Faith
I and my children are active members of a church or are looking for a church home
When you have completed this form please print the form and mail it to:
Pastor Mathew "Duke" Clements
830 Birch Trail
Crownsville MD 21032
Thank You