Registration Entry

Adopt Me! Chemo Buddies

Be willing to sit with those receiving treatment.

When you sign up on this opportunity, a member of the Christ's Church Outreach team, or project manager, will contact you back. Thank you for your heart to serve!

Interested in this Project?

Please register each person individually using their own personal contact info.
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First Name

Last Name

Home Phone

Personal Mobile Phone (if applicable)

Email

Birth Date

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Your Campus

Gender

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