AWANA registration -

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For more information or questions please email Jason Puga.

Please fill out the medical release form and bring it to AWANA.

AWANA Registration Form

Child's name *

First

Last

Email *

Address *

City, State, Zip *

Phone Number *

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-

Birthday *

Parent/Guardian Name *

First

Last

AWANA Club *

Allergies *

Medications *