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Awana Clubber Registration

2 Timothy 2:15

Do your best to present yourself to God as one approved, a workman who does not need to be ashamed and who correctly handles the word of truth.

Awana helps churches and parents work together to develop spiritually strong children and youth who faithfully follow Jesus Christ. Our programs offer a proven approach for evangelizing and discipling kids in the church and community.

AWANA Clubber Registration

1st CHILD

1. Child's Name

1. Gender

Male

Female

1. Date of Birth & Age

1. School & Grade

2nd. CHILD

2. Child's Name

2. Gender

Male

Female

2. Date of Birth & Age

2. School & Grade

3rd. CHILD

3. Child's Name

3. Gender

Male

Female

3. Date of Birth & Age

3. School & Grade

4th. CHILD

4. Child's Name

4. Gender

Male

Female

4. Date of Birth & Age

4. School & Grade

FAMILY INFORMATION

Father's Name

Mother's Name

Address

Street #, Appt. #, City, State, & Zip

Address (if different)

Name, Street #, Appt. #, City, State, & Zip

FATHER'S CONTACT INFO

Phone (Mobile)

Phone (Alternate)

E-mail

MOTHER'S CONTACT INFO.

Phone (Mobile)

Phone (Alternate)

E-mail

EMERGENCY CONTACT

Name

Relationship

Phone (mobile)

Phone (Alternate)

Digital Image Permission *

I grant permission for Faith Bible Church to use my picture for ministry puposes such as newsletters, website publicity, slideshows, etc.

I request that my picture not be used for any purpose mentioned above.

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