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Parent/Guardian Name(s)  If married, please include both parents' names, with the husband's name listed first: i.e. Joseph & Susan Smith or Joseph Smith & Susan Brown.
Last Name
Address
City
State
 
Zip  
Home Phone  ie. 303-668-8866  
Dad's Employer
Dad's Work Phone
Dad's Cell Phone
Mom's Employer
Mom's Work Phone
Mom's Cell Phone
Primary Email
Confirm Email
Password
Confirm Password

 
Joyous Chinese Cultural Center is a division of Chinese Children Adoption International
Joyous Chinese Cultural Center | 6940 South Holly Circle, Centennial, CO 80112 | 303-221-6688 | info@joyouscenter.org
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