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Open House Reservation Request Form

CHA Open House & Family Picnic
For more information on upcoming Open House events and individual tours please fill out the form below.

Registration Information  *Required Fields

*First Name:
*Last Name:

*Address:
*City:
*State and Zip Code:
*E-mail:
*Daytime Phone:
Evening Phone:


*# of People Attending:     Adults:      Children:

Age and Grade Level
of Children:
    Age:      Grade Level:
    Age:      Grade Level:
    Age:      Grade Level:
    Age:      Grade Level:

How did you hear
about this event:
Newspaper Ad
Postcard or Flier
EMail
Jen's List
Movie Theater Ad
Friend or Family Member

Please keep me informed of upcoming events at CHA.
Yes, I'd like to receive information on topics regarding education, such as
enforcing good study habits, test-taking strategies, etc.




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