AWANA-LIT Registration 2018-2019
Child's Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Birthdate (MM-DD-YYYY) *
Your answer
Which Club will this child be in? *
Grade this school year *
Special Medications or Allergies?
Your answer
Any other concerns we should know about?
Your answer
Do you have another child to add? *
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