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                                       AWANA REGISTRATION FORM 2021-2022
Name of Clubber *
Grade you are in *
Date of Birth *
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Parent/ Guardian Name *
Email *
Mailing Address *
 Emergency Phone number (if not parent or guardian please list name)
Any food Allergies
Permission to walk your child from Elem/Intermediate School over to Frenchtown Community Church                     *
Frenchtown School District has permission to release my child into the care of FCC AWANA Leaders to attend club on Tuesday afternoons afterschool.  This permission will remain in effect until otherwise notified.  (please type your child's name and your name below.) *
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