Fosterburg Baptist Church
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Parent/Guardian Info
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First Name *
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Last Name *
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Street Address *
Address Line 2
Address Line 2
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*
City *
State
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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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/
DD
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YYYY
Birthday *
Grade
*
Grade *
Food Allergies
Food Allergies
Add Another Child
Suggested donation of $15/child. Accepted in the Awana office on any club night
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