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Awana Registration
Date: Wednesday's starting September 11, 2019
Time: 6:15-7:30 p.m.
Location: 2051 George Griffith Blvd (FBS James Island)
Ages: K3 (potty trained) through 6th grade
Name *
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Phone Number *
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Address (Include City & Zip) *
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Email Address *
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Child's Name *
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Date of Birth
MM
/
DD
/
YYYY
Grade (2019-2020)
Age Group Class
Allergies or Medical Issues
Please Explain (Allergy/Medical)
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Emergency Contact Name
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Emergency Contact Phone Number
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