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AWANA Registration

Human Verification

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Registration Form

Registering for club:(required)
First Name(required)
Last Name(required)
Grade
Date of Birth(required)
Address(required)
City
State
Zip Code
E-Mail(valid email required)
Home Phone(required)
Cell Phone 1(required)
Cell Phone 2
Mom's Name(required)
Dad's Name(required)
Name of person bringing / picking up child(required)
Name of child's doctor
Emergency Contact Name (other than parents)(required)
Emergency Contact Phone 1(required)
Emergency Contact Phone 2
Home Church
Invited to AWANA by
I am interested in helping with AWANA

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Upcoming Events

December 15, 2013 11:00 amChristmas Cantata
December 18, 2013Shut-in Meals
December 19, 2013 6:15 pmChoir and Praise Team Practice
December 20, 2013 7:00 pmBarry McGee Ministries
December 21, 2013 6:00 pmBarry McGee Ministries with Children\\'s Program
December 22, 2013 11:00 amBarry McGee Ministries
December 26, 2013 6:15 pmChoir and Praise Team Practice
December 29, 2013 2:15 pmIce Skating
January 2, 2014 6:15 pmChoir and Praise Team Practice
January 9, 2014 6:15 pmChoir and Praise Team Practice

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