Calvary Church Awana Clubber Registration
Club Year: 2017 - 2018
1855 Albany Avenue, West Hartford, CT 06117
Email address *
Parent/Guardian
Name(s): *
Your answer
Address *
Your answer
City, State, Zip *
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Persons (other than parents) authorized to pick up children
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
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Email
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Other
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Emergency Contact Name and Phone Number During Club Time (other than parents) *
Your answer
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