Awana & Element 56 Registration Form

How many children are you registering?

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1

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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2

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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3

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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4

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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5

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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6

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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7

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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8

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

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My child commits to the following time period and understand if he/she wants to change sessions it must be approved by the Children's Director.

My children commit to the following time period and understand if he/she wants to change sessions it must be approved by the Children's Director.

Do we have an updated 2018-2019 SafeCheck Registration Form for this child(ren)?

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After submitting this form, follow the link to complete the SafeCheck Registration.

All Awana and Element 56 participants are required to have the SafeCheck form on file.

Great! Submit this form and you're all done!

We are happy to check on this for you and let you know whether or not we have the form on file. Watch your inbox for communication from Jen Peters at familyadmin@zoominternet.net.

Awana & Element 56 Registration Form

How many children are you registering?

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1

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

{binding displayValue}

Parent's Email:

{binding displayValue}

{ binding firstError.message }

2

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

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Parent's Phone:

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Parent's Email:

{binding displayValue}

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3

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

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Parent's Email:

{binding displayValue}

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4

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

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Parent's Email:

{binding displayValue}

{ binding firstError.message }

5

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

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Parent's Email:

{binding displayValue}

{ binding firstError.message }

6

Clubber Name:

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Bithdate:

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Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

{binding displayValue}

Parent's Email:

{binding displayValue}

{ binding firstError.message }

7

Clubber Name:

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Bithdate:

{binding displayValue}

Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

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Parent's Email:

{binding displayValue}

{ binding firstError.message }

8

Clubber Name:

{binding displayValue}

Bithdate:

{binding displayValue}

Grade during the 2018-2019 School Year:

{binding displayValue}

Parent's Phone:

{binding displayValue}

Parent's Email:

{binding displayValue}

{ binding firstError.message }

My child commits to the following time period and understand if he/she wants to change sessions it must be approved by the Children's Director.

My children commit to the following time period and understand if he/she wants to change sessions it must be approved by the Children's Director.

Do we have an updated 2018-2019 SafeCheck Registration Form for this child(ren)?

{binding displayValue}

After submitting this form, follow the link to complete the SafeCheck Registration.

All Awana and Element 56 participants are required to have the SafeCheck form on file.

Great! Submit this form and you're all done!

We are happy to check on this for you and let you know whether or not we have the form on file. Watch your inbox for communication from Jen Peters at familyadmin@zoominternet.net.