Fosterburg Baptist Church
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Parent/Guardian Info
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First Name *
Last Name
*
Last Name *
Street Address
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Street Address *
Address Line 2
Address Line 2
City
*
City *
State
*
IL
State *
Zip
*
Zip *
Email
*
Email *
Phone
*
Phone *
Anyone who should not pick up student
Anyone who should not pick up student
Child's Info
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*
First Name *
Last Name
*
Last Name *
Birthday
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Birthday *
Grade
*
Grade *
Allergies
Allergies
Add Another Child
Suggested donation of $15/child. Accepted in the Awana office on any club night
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