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AWANA Registration 2023-24
Please fill in the information below for your child attending AWANA at Shady Grove Baptist Church.
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Child Name
Your answer
Male or Female?
Male
Female
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Address
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Phone Number
Your answer
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Grade in school
Your answer
Parent(s) Name
Your answer
Parent email address
Your answer
Do you attend church?
Yes
No
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May we add you to our phone tree for AWANA News & Info?
Yes
No
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May we photograph your child for SGBC AWANA purposes?
Yes
No
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May we send written correspondence? (i.e. birthday cards, etc)
Yes
No
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Authorized individuals for pickup if you are not able:
Your answer
Emergency Contact and Phone Number 1
Your answer
Emergency Contact and Phone Number 2
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Please list any allergies your child may have.
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Any special concerns or instructions.
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Parent Signature
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