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Burley Bible Church AWANA Registration

MM slash DD slash YYYY
Parent/Guardian(Required)
Use the phone number that is easiest to contact
Address(Required)
Parent/Guardian
The other parent/guardian of the household (if there is one)
Use the phone number that is easiest to contact
The email you use for your family
What is the name of the church you are currently attending, if none, write N/A
Emergency Contact Person(Required)
The emergency contact is someone other than yourself we can contact in case we cannot get a hold of the parent/guardian during an emergency.
Use the phone number that is easiest to contact
Who will be bringing the child/children listed below?
Who is allowed to pick up the child/children listed below? You can also contact the church office to update this field at a later date.

Children you are registering:

Fill out the forms below for the children you are registering. If there are more than 4 children you are registering submit one form with all 4 fields filled out, and then reload the page and submit an additional form for the other children. If you are only registering one child, only fill out the first form below.
1st Child's Name(Required)
MM slash DD slash YYYY
What grade will the child be entering in the fall for the 2022-2023 school year?
Allergies we should be aware of, if none write N/A
2nd Child's Name
MM slash DD slash YYYY
What grade will the child be entering in the fall for the 2022-2023 school year?
Allergies we should be aware of, if none write N/A
3rd Child's Name
MM slash DD slash YYYY
What grade will the child be entering in the fall for the 2022-2023 school year?
Allergies we should be aware of, if none write N/A
4th Child's Name
MM slash DD slash YYYY
What grade will the child be entering in the fall for the 2022-2023 school year?
Allergies we should be aware of, if none write N/A

IF YOU HAVE MORE THAN 4 CHILDREN YOU ARE REGISTERING DO THE FOLLOWING:
REGISTER THE 4. CLICK SUBMIT. RELOAD THE PAGE, AND THEN FILL OUT AN ADDITIONAL FORM. REPEAT AS NEEDED.