ACS Registration Form

Registration Form


	First Name:

	Last Name:

	Partners Name:

	Email Address:

	Address 1:

	Address 2:

	City:

	State:

	Zip Code:

	Telephone:

	Unit Affiliation:

	How many children will you need child care for?

	Are your children currently enrolled in CYSS? (Yes or No)

	What are the names and ages of the children you need child care for?

	*Please note: Free child care is available for those registered 3 WEEKS PRIOR to the event. If you need child care, Webtrac now allows hourly care reservations at https://webtrac.mwr.army.mil/or you can call Grierson CDC at (580) 558-3405. If you have any questions, contact Angela Schertle at (580) 442-6801.

	This registration is for:

		Cherish the Gift
		PAIRS - Practical Application of Intimate Relationship Skills
		7 Habits of Highly Effective Military Families
		8 Habits of a Successful Marriage
		Couplehood