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New Life Church AWANA
Registration Form 2010/2011


Please enter the following information to register your child in AWANA.
In addition, on the first day you bring your child you will need to pay
the $35 fee (includes Registration, Book and Uniform $20 and Dues $15) and sign the Medical
Treatment Consent & Liability Release Form.
Club:

Clubber Name

Grade     Age     School     Birthdate

Address

City     Zip     Phone

Allergies? Specify

Medications

Is there anything we should know about your child?


Mother's Name     Father's Name

Where can you be reached on club nights?

Email Address

Alternate Emergency Contact     Phone

   I would like to help in AWANA Club!!!




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