Dear parent/guardian,

Thank you for showing interest in registering your child in AWANA. Because of the nature of the program, we need you to fill out a paper form that is signed and to submit payment. This form is intended to save your child's spot and to gauge interest.

Email address *
Child(ren) Name(s)
Your answer
Child(ren) Info: Age, Birthdate, Grade
Your answer
Home Phone
Your answer
Parent/Guardian Full Name
Your answer
Full Address, City, State, Zip Code
Your answer
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