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Awana Registration
Use this form to register your child for the Awana Club at Rentz Baptist Church.
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* Indicates required question
Parent Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Clubber Name
*
Your answer
Clubber Birthday
*
MM
/
DD
/
YYYY
Clubber Grade/ age
*
Age 3
Age 4
Kindergarten
1st
2nd
3rd
4th
5th
Home Church
Your answer
Medical Conditions
Your answer
Authorized Pick Up Person: (if different than parent)
Your answer
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