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1) Fill out the information below as completely as possible including your e-mail address to register and also to have a receipt for your tax deductible contribution e-mailed back to you.

2) If someone requested that you “sponsor” them, please be sure to type in their full name and whether they are a CCA student, parent or a volunteer. This helps us to track all contributions.

3) After completing the information below, please click the “next” button which will eventually take you to our secure Pay Pal site so that you can make your tax deductible donation.

All donations are tax deductible.

( * = required field )

First Name: *

Last Name: *

Organization:

Address: *

City: *

State: *

Zip Code: *

Country:

Phone:

Email: *

Confirm Email: *

ADDITIONAL INFORMATION

I am sponsoring:

Please type in the name of any student or volunteer (if any) who has asked you to sponsor them in the space.

Messages:

Amount ($): *

	$100.00	Sponsor Amount
			[You may insert your donation amount here instead of using one of the above amounts.]

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