AWANA PRE-REGISTRATION FORM

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AWANA PRE-REGISTRATION FORM

Dear parent/guardian,

Thank you for showing interest in registering your child in AWANA.

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* Indicates required question

Email *

Your email

Child(ren) First & Last Name(s)

Your answer

Child(ren) Info | Age on 9/1, Birthdate, Grade beginning 9/1

Your answer

Parent/Guardian Full Name

Your answer

Parent/Guardian Cell Phone

Your answer

Full Address, City, State, Zip Code

Your answer

Emergency Contact Full Name & Relationship

Your answer

Emergency Contact Phone Number

Your answer

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