Register - Cypress Creek Church

Number of Students*

Please enter a number from 1 to 3.

Student Name*

First Last

Student Gender*

Student Grade*

Student Tshirt Size*

Student #2 Name

First Last

Student #2 Gender

Student #2 Grade

Student #2 Tshirt Size

Student #3 Name

First Last

Student #3 Gender

Student #3 Grade

Student #3 Tshirt Size

Parent or Primary Guardian*

First Last

Email Address*

Enter Email Confirm Email

Cell Phone*

I would like to receive:

Who invited you to FOCUS? (For Host Home purposes)

Focus 2022 Student Registration

Payment Method*

Total

$0.00

Credit Card

Card Details

Cardholder Name