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Child's First Name
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Age 3
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List any food allergies, health, or behavioral concerns for child, if any:
Custody Concerns?
If yes, please notify club leaders regularly and list concerns below:
Email
I am the parent and/or legal guardian having legal custody of my child(ren). I give consent for responsible adults in the AWANA ministry of Solid Rock Community Church to administer the group activities with my child(ren) being present at those activities. I understand it is my responsibility to assist my child(ren) with participation in the program.
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