REGISTER FOR AWANA

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Register for Awana

Child's Name *

First

Last

Grade *

Birthday *

Address *

City / Zip code *

First

Last

Parents Names *

Parents Phone Number *

Email

Home Church (if any)

Do you attend another church other than Shannon Baptist?

Multiple Children

Please list the names and grade levels of any addition children

Allergies or Medical Conditions

Please list any allergies or other conditions we may need to know about

Bus Pick-up Requested

We currently only run a bus route through Lanark

Would you like to be added to the Shannon Baptist Awana Facebook?

Name

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