FBCJC AWANA REGISTRATION
Email address *
Child's full name
Your answer
Child's Birthday
MM
/
DD
Grade
Your answer
Parent's Name
Your answer
Parent Phone Number
Your answer
Mailing Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Who (other than you) is allowed to pick up your child?
Your answer
Is there anyone NOT allowed to pick up your child?
Your answer
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