Harmony Baptist Church
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AWANA REGISTRATION FORM
*
Indicates required field
Name
*
First
Last
Birthdate
*
Age
*
Grade:
*
School
*
Allergies/Medical Restrictions
*
Parent/Guardian Name
*
First
Last
Relationship:
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parents /Guardian Phone Number
*
Parent's Email
*
Emergency contact other than parent/guardian listed above:
*
HBC has my permission to post pictures of my child on church bulletin boards and/or church website.
*
YES
NO
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