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*Required information.

The annual fee for Awana includes books, vests, shirts and badges.  For one child the cost is $15, 2 children is $20, and 3 or more chlldren is $30.

Parent/Guardian Name *
Street Address *
City *
Zip Code *
Phone *
Email
Emergency Contact *
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Emergency Number *
Child 1 Name *
Child 1 Age *
Child 1 Allergies/Medical Needs *
Child 2 Name
Child 2 Allergies/Medical Needs
Child 2 Age
Child 3 Name
Child 3 Age
Child 3 Allergies/Medical Needs
Child 4 Age
Child 4 Name