AWANA CLUB

CHILD'S NAME

CHILD'S AGE

CHILD'S BIRTHDATE

CHILD'S GENDER

BOY GIRL

CHILD'S GRADE IN SCHOOL

NAME OF SCHOOL CHILD ATTENDS (ex: RB Godley, Legacy, Pleasant View, Watershed ...)

NAME OF CHURCH CHILD ATTENDS

LIST ANY ALLERGIES CHILD HAS

PARENT NAME(S)

PARENT EMAIL

This address will receive a confirmation email

PARENT PHONE

PARENT ADDRESS

LIST NAMES & PHONE # OF ALL WHO MAY PICK YOUR CHILD UP

NAME & CELL # OF EMERGENCY CONTACT TO CALL IF PARENT CAN'T BE REACHED

Description

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