Zip Nite Awana Registration Form 2022-2023

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Use this form to register up to 4 children in grades K-5 from the same family. We are hoping to have a nursery for younger children; you will have a chance to indicate your interest in a nursery below in the Parents section.

Child #1 Name *

Child #1 Grade *

1st

2nd

3rd

4th

5th

Will this child be participating in Awana?

Yes

Clear selection

Child #1 Birthdate

YYYY

Child's school

Medical

List any food allergies this child has. If there any other medical or behavioral information we need to know regarding this child, please list them below.

Do you want to register a 2nd child?

Yes

Clear selection

Clear form

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