Awana Registration 2019/2020
Wednesdays 6:30-8:00pm
Start Date: Wednesday, September 18, 2019
One form per child
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Child's Name *
Child's Age *
Child's Date of Birth *
MM
/
DD
/
YYYY
School Grade as of September 2019 *
Name of Parent(s) *
Address *
Phone Number *
Parent/Caregiver's Cell Phone Number *
Home Email Address *
Home Church (if applicable)
Allergies or other medical conditions
Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of? If so please explain.
Note
 It is the responsibility of the parent(s) or legal guardian(s) to inform Fellowship Baptist Church if there are any changes in the above information during the 2019/2020 Awana program.
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