AWANA - New Registration


This form is for Registrations for the 2021-2022 AWANA program at Grace Baptist Church in Fayetteville, WV.  Please complete a new form for each child you wish to register.  If you have any difficulty with the registration please see Eddie Young or Greg Pawlus, or email payton34bear@icloud.com

Child's Information

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Date of Birth

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Parent or Guardian Information

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Emergency Contact Information

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