Safe Haven Champion

INCLUDES 10 TICKETS TO BENEFIT - Ensure that the Community Center remains a cornerstone of hope and stability offering critical services for all who need our help.

Main Registrant Name*

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Please provide your name for check-in

Main Registrant Email*

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Please provide an email address so we can send you your tickets

Main Registrant Cell Phone*

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Please provide a cell phone number so we can update you on our event protocol

Please let us know about your Guests...*

I have the names and will enter them below

I will email CCNW with a list of my guests

I will not be using my tickets

Additional Attendee Name 1

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Additional Attendee Name 2

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Additional Attendee Name 3

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Additional Attendee Name 4

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Additional Attendee Name 5

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Additional Attendee Name 6

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Additional Attendee Name 7

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Additional Attendee Name 8

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Additional Attendee Name 9

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Safe Haven Champion