Registration

Candlelight Oaks Dream Playground

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About KaBOOM!

Registration

Welcome! Join the fun! *******************

*Note: Membership to this portal is Public. Once your account information has been submitted, you will be immediately granted access to the portal environment. All fields marked with an asterisk (*) are required.

First Name:	*
Last Name:	*
User Name:	*
Password:	*
Confirm:	*
Email Address:	*
Website:
Instant Messenger ID:

Address:	*
Street (cont.):
City:	*
Country:	*
State:	*
ZIP Code:	*
Telephone:	*
Cell:
Fax:

Preferred Language:
Time Zone:

Are you a resident of Candlelight Oaks?

Yes

Volunteering for Build Day (July 9)?

Yes

******************** Thank you for registering! We look forward to working with you on Build Day!