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Fellowship Bible Church New Braunfels 2019 AWANA Registration
Child's First Name / Last Name *
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Birth Date *
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DD
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School Grade *
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Address
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Parent/Guardian's Name *
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Phone/Cell Phone *
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Additional Phone:
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Email Address:
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Emergency Contact (Name & Phone #)
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Medical Release *
As parent/legal guardian for the above named child, I give permission for FBC personnel and AWANA leaders to seek medical treatment for my child if sick or injured, until a parent/guardian can be located. I give permission for first aid to be rendered. I assume responsibility of any cost connected with such treatment.
Photograph Release *
I give permission for publication/use of photography taken during club time. I understand these photos and/or videos may be posted on Fellowship Bible Church's website and/or Facebook Page.
Is child allergic to any medications? *
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List Allergies or any Medications:
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Are there any medical conditions that we need to be aware of?
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