Awana Registration Form
2018 - 2019 Corning FBC Awana
Clubbers and Leaders registration form
Registration fee is $10 for each child and due by the second night of attendance
Email address *
Child's / Leader's First Name *
Your answer
Last Name *
Your answer
Parent / Guardian Names & phone *
Your answer
Emergency Contact Info: Name & cell phone:
Your answer
Emergency Contact Info: Name & cell phone of someone NOT living in the home
Your answer
Child's Mailing Address *
Your answer
Child's Physical Address
Your answer
Male / Female *
Birthday *
MM
/
DD
/
YYYY
Home Church *
Your answer
Grade *
Allergies or other comments
Your answer
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