Awana Registration
Mayfair Bible Church
5339 W. Pierson Rd., Flushing, 48433, 810.733.7130

Wednesday Nights from 6:30 to 8:15 PM

Cubbies - Potty Trained 3yrs-Pre-K
Sparks - K-2nd Grades
Truth & Training - 3rd-6th Grades

Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Grade (Fall 2018) *
Birthday *
MM
/
DD
/
YYYY
Age *
Parent/Guardian Name(s) *
Your answer
Address *
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Zip Code *
Your answer
Phone Number *
Your answer
Emergency Phone Number *
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Parent Email
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Food Allergies or other medical concern *
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Church you attend
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