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AWANA Child Registration
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Child's Date of Birth:
*
Your answer
Child's Sex
*
Male
Female
Child's Grade Level:
*
K2
K3
K4
Kindergarten
1st
2nd
3rd
4th
5th
AWANA Club child will be attending:
Puggles (K2)
Cubbies (K3-K4)
Sparks (K5-2nd)
T&T (3rd-5th)
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Does your child have any allergies or medical concerns we should be aware of?
*
Your answer
Who is authorized to pick your child up? Please consider emergencies/extenuating circumstances. Note that all parties picking up must provide photo ID and be on the approved pick-up list.
*
Your answer
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Parent Phone Number(s)
*
Your answer
Parent Email Address
*
Your answer
Does your family regularly attend Monaghan Baptist Church?
Yes
No
Clear selection
If the answer to the previous question is no, does your family attend another church?
Your answer
Do you give Monaghan Baptist church permission to use your child's image in church publications, social media, etc. to promote the AWANA ministry?
*
Yes
No
Send me a copy of my responses.
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