AWANA Club Activity Permission and Registration Form
Date of AWANA Club: September 29 - May 31, 2022
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Parent/Guardian
Home Address: (Include City/Zip)
Phone Number
Email Address
Child's Age and Grade
Who is bringing and picking your student:
Please list any specific medical allergies, chronic illnesses, or other conditions:
Family Physician and Hospital Preference
In case of emergency, who may we contact, please list their name, relationship and phone number.
Transportation Permission: Do you give consent for your child to ride to and from Maranatha Baptist Fellowship to attend AWANA?
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