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Lighthouse Baptist Church AWANA Registration

Beginning August 9th (6:30 - 7:30)

11460 Pulaski Pike
Toney, AL 35773
(256)828-2883
kids@lhbctoney.org
Your Email:
 *
Student Last Name:
 *
Student First Name:
 *
Grade Student last completed:
 *
Gender:
 *
Parent/Guardian Last Name:
 *
Parent/Guardian First Name:
 *
Address:
 *
City:
 *
State:
 *
Zip:
 *
Home Phone:
 *
Cell Phone:
 
Food Allergies or other medical information we need to know?
 *
If you answered yes above, please list details:
 
Additional Comments/Instructions:
 
Do you go to Sunday School?
 
If So, Where?
 
If you are a guest, who invited you?
 
Verification Code:
Insert above code:
 * Required


Copyright © 2018  Lighthouse Baptist Church • Toney, AL • (256) 828-2883