First Baptist Church - Clanton, AL
Tuesday, September 26, 2017
A Church with a Passion for His Purpose
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Father's Name
 
Mother's Name
 
Child's Name
 
Address  
 
Address  
 
City
 
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Zip
 
Phone
 
Email Address
 
Is your Child a returning Club Member?  Yes      No 
 
Grade attending for 2013-2014   
 
Date Of Birth
 
If Pre-K, Age on September 1st  
 
Gender:    Male        Female 
 
Home Church 
 
Have you been involved with an Awana program before?    Yes      No 
 
If so, which Church?    
 
In what city?