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AWANA Club Activity Permission and Registration Form 2023
Date of AWANA Club: August 24th 2023- April 30th 2024
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Parent/Guardian
Your answer
Home Address: (Include City/Zip)
Your answer
Phone Number
Your answer
Email Address
Your answer
Child's Name, Age and Grade
Your answer
Who is bringing and picking your student:
Your answer
Please list any specific medical allergies, chronic illnesses, or other conditions:
Your answer
Family Physician and Hospital Preference
Your answer
In case of emergency, who may we contact, please list their name, relationship and phone number.
Your answer
Transportation Permission: Do you give consent for your child to ride to and from Maranatha Baptist Fellowship to attend AWANA?
Yes
No
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