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	New Life Church AWANA Registration Form 2011/2012 Please enter the following information to register your child in AWANA. In addition, on the first day you bring your child you will need to pay the $35 fee (includes Registration, Book and Uniform $20 and Dues $15) and sign the Medical Treatment Consent & Liability Release Form. Club:    Puggles  -  2 years old by Sept. 1 or later [Sorry, but Puggles are full.]      Cubbies  -  2 years before Kindergarten       Sparks  -  Kindergarten through 2nd Grade       Truth & Training  -  3rd through 5th Grade    Clubber Name Grade     Age     School     Birthdate Address City     Zip     Phone Allergies? Specify Medications Is there anything we should know about your child? May we take pictures of your child to display at Awana?   yes   no Mother's Name     Father's Name Where can you be reached on club nights? Email Address Alternate Emergency Contact     Phone    I would like to help in AWANA Club!!!                          office use only:  PHP Form by FormToEmail.com
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