Awana Registration
ONE child Per Enrollment
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Email *
Child's First Name *
Child's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
PARENT/GUARDIAN NAME
First Name *
Last Name *
Address *
Phone Number *
Email *
Emergency Contact (Alternate to Parent/Guardian) *
Emergency Contact Phone Number *
Allergies/Special Considerations *
Do you want to help in Awana?
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Ok to use Child's Photograph?
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