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AWANA Registration Form (Fall 2018)
Online registration for AWANA Wednesday Night Program at Corinth Baptist Church.
(Please fill out an individual form for each child being registered)
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* Indicates required question
Email
*
Your email
Child's Name (first and last)
*
Your answer
Child's Gender
*
Female
Male
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Grade (as of September 1, 2018)
*
Your answer
Home Address
*
Ex. 101 County Line Road, Providence Forge, VA 10101
Your answer
Home Phone Number
*
Your answer
What (if any) church do you normally attend?
*
Corinth Baptist Church
Other:
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