Awana Registration 2024 (our grade 3-4 class is full and we cannot accept any new registrations for that class)

Parent’s or Guardian’s Name(*)

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Street Name or Mailing Address(*)

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City(*)

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Province(*)

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Postal Code(*)

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Home Phone(*)

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Cell Phone(*)

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E-mail Address(*)

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Second Contact(*)

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Phone #(*)

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Who will be dropping off your child(ren)? (list all names that may apply)(*)

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Who will be picking up your child(dren)? (list all names that may apply)(*)

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Allergies or other medical conditions(*)

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Do you have a home church?(*)

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How did you hear about Faith Fellowships Awana?(*)

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I want to register this many children(*)

12345 Invalid Input

Child 1

Child 1 Name (*)

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Current Grade(*)

SelectK123456789101112 Invalid Input

Child 1 Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031 / Month010203040506070809101112 / Year20062007200820092010201120122013201420152016201720182019 Invalid Input

Child 2

Child 2 Name (*)

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Current Grade(*)

SelectK123456789101112 Invalid Input

Child 2 Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031 / Month010203040506070809101112 / Year20062007200820092010201120122013201420152016201720182019 Invalid Input

Child 3

Child 3 Name (*)

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Current Grade(*)

SelectK123456789101112 Invalid Input

Child 3 Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031 / Month010203040506070809101112 / Year20062007200820092010201120122013201420152016201720182019 Invalid Input

Child 4

Child 4 Name (*)

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Current Grade(*)

SelectK123456789101112 Invalid Input

Child 4 Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031 / Month010203040506070809101112 / Year20062007200820092010201120122013201420152016201720182019 Invalid Input

Child 5

Child 5 Name (*)

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Current Grade(*)

SelectK123456789101112 Invalid Input

Child 5 Date of Birth (*)

Day01020304050607080910111213141516171819202122232425262728293031 / Month010203040506070809101112 / Year20062007200820092010201120122013201420152016201720182019 Invalid Input

(*)

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