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AWANA Club Registration
Please complete one form per child.
Your signature will be required when you bring your child(ren) to the first night of AWANA.
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* Indicates required question
First and Last Name:
*
Your answer
Mailing address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number or Emergency Contact
Your answer
email address
*
Your answer
Parent / Guardian Name(s)
*
Your answer
Name(s) of the only person(s) other than parents listed, that may pick up your child from AWANA
Your answer
Child's Age
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Grade
*
Your answer
School
*
Your answer
Allergies
Your answer
Your Home Church
Your answer
May we have permission to call your child with encouragement?
*
Yes
No
May we have permission to send your child a note or card (ie: birthday or encouragement)?
*
Yes
No
May we have permission to take your child's photo during club activities?
*
Yes
No
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