AWANA Registration

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AWANA Registration

Email Address

Parent or Guardian Name: *

Street Address *

Primary Phone # *

Secondary Phone # *

Will you be on the CPBC Campus during AWANA? *

Yes

If not, please provide an emergency contact: *

Please list who may pick up your child from AWANA Club?

Please Register the following clubbers:

Name: *

Birthday: *

YYYY

Grade: *

Uniform Size: *

To help us better serve your child, please list any food allergies, special needs, or behavioral concerns here: *

Videos, photos, and/or slides will be taken of our clubbers. These will be used for club crafts, and events throughout the year. Your signature serves as permission to Central Park Baptist Church to use photos of your children for these purposes. Please type your name and date: *

Submit

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