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WWBC Awana Registration
Starred selections are required to be completed. Each child will need a separate registration, however,If this is a 2nd child registration, you only need to complete the starred selections.
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* Indicates required question
Parent Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Choose
NY
PA
Zipcode
*
Your answer
Parent phone number
Your answer
Email
Your answer
Emergency Contact person
Your answer
Emergency Contact Phone #
Your answer
Permission for anyone besides Parent to pickup
Your answer
Church Currently attended
Your answer
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