CRESTVIEW BAPTIST CHURCH | Clayton, Ohio
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Child's Name
Parents/Guardian Name
Home Phone
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Work Phone
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Cell Phone
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Child's Grade
Child's Age
Date of Birth
Medical Information and Food Allergies we need to know about.
Emergency Contact Name #1
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Emergency Contact #1 Phone
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Emergency Contact Name #2
Emergency Contact #2 Phone
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Who may pick up your child at the end of each AWANA evening?
May we have permission to photo your child to possibly use in church publications for promotional purposes?