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Please fill out the form for each child in the AWANA Program.

 

AWANA Registration
Child's Full Name *
Grade *
Date of Birth mm/dd/yyyy
AWANA Club
Parent/Guardian Name
Address
City
Zipcode
Phone *
Email
Home Church
Received Christ?
Baptized?
Baptized When?
Emergency Contact:
Name *
Phone *
Brought By:
Name
Relationship