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AWANA DUES & REGISTRATION 2010 - 2011

Parent(s) Name(s):

Street Address:

City:       State:       Zip:

Home Phone:

Cell Phone:

Email Address:

Home Church:

Child 1 Name:

Child 1 Birth Date:

Child 1 Gender:

Child 1 Grade (fall):

Child 1 AWANA Club:

Child 2 Name:

Child 2 Birth Date:

Child 2 Gender:

Child 2 Grade (fall):

Child 2 AWANA Club:

Child 3 Name:

Child 3 Birth Date:

Child 3 Gender:

Child 3 Grade (fall):

Child 3 AWANA Club:

Child 4 Name:

Child 4 Birth Date:

Child 4 Gender:

Child 4 Grade (fall):

Child 4 AWANA Club: