2024 - 2025 AWANA Registration Form

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2024 - 2025 AWANA
Starts: September 6, 2024
Ends: May 23, 2025
Time: 7:30PM - 9:00PM
Cost: $40 per child
REGISTRATION FORM

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Child's Information

 
 
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Child #2's Information

 
 
 
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Child #3's Information

 
 
 
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Child #4's Information

 
 
 
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Child #5's Information

 
 
 
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Parent/Guardian/Other Emergency Contact Information

 
 
 
 
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Photography/filming consent

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MEDICAL RELEASE INFORMATION

As a parent / guardian, I do hereby authorize the treatment by a qualified and licensed medical doctor of the above minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his / her life, cause disfigurement, or undue comfort if delayed.  This authority is granted after all reasonable effort has been made to reach me.  This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence for the Awana Club year Sept 6, 2024 through May 23, 2025.

 
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PAYMENT INFORMATION

Cost: $40 per child
 
 
 
 
 
 

Description

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