AWANA Fall 2021 Registration Form

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Registration for AWANA at First Baptist Church, Reading MA

Child 1 Name *

Child 1 Grade *

Child 2 Name

Child 2 Grade

Child 3 Name

Child 3 Grade

Child 4 Name

Child 4 Grade

Parent(s) Name(s) *

Parents Email Address *

Home Phone

Cell *

For emergency contact during AWANA

Home Church

First Baptist Reading

No home church

Other:

Clear selection

Childs Church Attendance

A few times a year (or less)

Once or twice a month

Most or every week

Clear selection

Other notes

Allergies, Disabilities, etc...

Submit

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