Awana Clubs
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Child
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Child
Last Name
* Nickname or Preferred Name
* Birth Date (mm/dd/yyyy)
* Gender
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Boy
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* Awana Program Registering Child
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Cubbies 3 - 5 yrs
Sparks K - 2nd
T and T 3rd - 5th
* Grade (2025-2026)
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Pre-K
Kindergarten
1st Grade
2nd Grade
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4th Grade
5th Grade
* Special Needs/Allergies
* Parent/Guardian 1 Name
* Parent/Guardian 1 Cell Phone
* Parent/Guardian 1 Email
Parent/Guardian 2 Name
Parent/Guardian 2 Cell Phone
Parent/Guardian 2 Email
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Child
Address
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Child
Emergency Contact
* Approval for Use of Photos
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