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Awana Every Wednessday Night Grades K-6

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Registration for Awana

Please join us Wednessday nights at 6:30 PM to register your child. There is always room for more children.

Please register your child if you have not registered in past years.

Items marked with an asterisk * are required.

Child’s Name*
Child’s Birthdate*
Male / Female*
Grade Entering This Fall*
Father's Name
Father's Email Adress
Father's Cell Phone Number
Mother's Name
Mother's Email Address
Mother's Cell Phone Number
Child lives with*

Child lives with (Other)
Church Affiliation
Guest of
Media Release 2015-2016, I understand and hereby Grace Baptist Church MJ Awana Club, its staff and leaders permission that, while my child is participating in approved Awana Club activities, photographs and video footage of my child may be taken for use in its promotion. I understand that no personal information (such as Name ad DOB), will be furnished, unless I grant verbal or written permission. I understand there is no financial compensation for any photographs and/or video footage, for me or my child. I also release Grace Baptist Church MJ, its leadership and staff, from any and all claims I may have against them as a result from my child's photo and/or video footage in promoting the Awana Club.*
Emergency Contact Phone*
Emergency Contact Name*
Emergency Contact Relationship to Child*
Medical Info / Allergies / Restrictions
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