2023/2024 AWANA Registration
Sundays 5:30 - 7:00 pm
September 10 - April 28
3 yrs.– 5TH GRADE

Dayton First Baptist Church
300 Flower Lane
Dayton, OR

Cost $25 yearly dues ($50 family maximum, scholarships available)
For information visit awana.org, and email any questions to awana.dfbc@gmail.com or call/text Sarah 503-583-5216

Please complete a separate form for each child.

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Parent/Guardian Name (first and last) *
Child's Name (first and last)
Grade/Age for 2023/24 School year *
Birthday *
MM
/
DD
/
YYYY
Mailing Address
Preferred Contact Name & Number *
Additional Contact(s) Names & Numbers  (optional)
Home Church (optional)
Email address *
I give permission for images of my child taken during Awana to be used for the purposes of celebrating and promoting AWANA at DFBC *
Does the child have any allergies, medical concerns, or anything else that we should be aware of? *
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