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Shiloh EPC AWANA Registration 2026-2027
Join us for AWANA at Shiloh EPC beginning Wednesday, September 9, 2026 from 5:30-7:30pm.
Dinner will be provided.
Please complete one form per child.
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* Indicates required question
Child's Full Name
*
Your answer
Child's Age
*
Your answer
Grade (2026-2027 School Year)
*
Choose
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Birthdate
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Home Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Child Allergies or Medical Concerns
*
Your answer
Is your child permitted to receive dinner/snacks?
*
YES
NO
Any food allergies or dietary restrictions?
*
Your answer
Do you give Shiloh EPC permission to photograph your child for church promotions/social media?
*
YES
NO
Who is authorized to pick up your child?
*
Your answer
How did you hear about AWANA?
*
Facebook
Friend/Family
Church
Flyer
Other
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