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AWANA Online Pre-enrollment

* Child's First Name:

* Child's Last Name:

* Mother's Name:

* Father's Name:

Address:

* Grade in School:

Cell Phone Number:

* List all allergies or type NONE:

Enter your e-mail for a confirmation of this form.:

Note: This online pre-enrollment information will be transferred to your child's official enrollment form and will require a parents signature to be on file, in order for your child to be apart of the AWANA program.

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