CHILD Registration Brunswick Church AWANA 2024-2025 Wednesdays 6:00-7:30 PM - Starting Sept 18 with an Open House. Club starts September 25.
* Required Fields
Child Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Child Date of birth
Address
*
City
*
State
*
NY
Other
Zip
*
Parent/Guardian Phone
*
Other Contact Phone
Parent/Guardian Email
*
example@example.com
Allergies or other medical condition
Home Church
2024/2025 School year grade
Preschool (3yrs-old, potty trained) (WE DO NOT ALWAYS HAVE THIS GROUP)
K-2nd Grade
3rd-6th Grade
Comments
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