TVCBC Awana 2017 registration (Responses)
Information of first child
Child’s Name (First, Last)
Your answer
Birth date (mm/dd/yyyy)
Your answer
Grade
Gender
Information of second child (Optional)
Child’s Name (First, Last)
Your answer
Birth date (mm/dd/yyyy)
Your answer
Grade
Gender
Parent's Information
Father's Name
Your answer
Father's Cell Phone
Your answer
Mother's Name
Your answer
Mother's Cell Phone
Your answer
Home Phone
Your answer
Contact E-mail
Your answer
Family Church
Your answer
Fellowship Group
Your answer
Medical Information
Insurance Company
Your answer
Policy/Group #
Your answer
Insurance phone #
Your answer
Doctor Name and Phone
Your answer
Special needs (allergies, meds)
Your answer
Emergency contact name and phone# (other than parents)
Your answer
If you are not an AWANA leader yet, would you like to to help
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