Awana Sign up sheet copy - Amazon S3

Father's Name ____________________

Mother's Name ____________________

Child's Name ____________________

Address

_____________________

Address

_____________________

City

_____________________

State

______________________

Zip

______________________

Phone

______________________

Email Address ______________________

Grade attending for 2016-2017____________________

Known Allergies _____________________

Date Of Birth ______________________

If Pre-K, Age on September 1st ________________

Gender: Male Female

Home Church ______________________

Parents,

Please return this to your child's AWANA leader as soon as possible. It helps us to have an emergency contact on file with your child.

Thanks!

Daniel Walker, Commander daniel.walker@ 706-455-3678

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