Awana Registration

First Name:

Last Name:

Address:

Phone:

Alternate Phone:

Email:

Emergency Contact Name:

Emergency Contact Phone #

Child Date of Birth

Age:

Grade last completed:

Enrolled in Sunday School?

If `yes`, where?

Parents Name:

Special Needs (allergies/medical info)

Who may pick up child?

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Service Times

Address

523 Roberts Mill Road

Hixson, TN 37343

Phone

423-842-5924

Email

fwbcoffice@gmail.com

Office Hours

Monday – Thursday

9:00 a.m. to 2:00 p.m.

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