AWANA REGISTRATION

AWANA Registration Form

Parents (and/or guardians) – Awana happens Wednesday evenings beginning on September 13th and runs through the beginning of April 2024. It is for kids who are 3 years old by September 1, 2023 (and potty trained)-5th grade.

We are so grateful to play a part in your child’s spiritual journey! Please fill out the following so we can stay connected. This form will also help us to care for the kids in your family, as you share needs or any medical concerns with us.

Parent/Guardian Name

Mailing Address

Mobile Phone Number

Email Address

Child's Name

Child's Birthdate

Child's Grade Level (for the 2023-2024 school year)

Any important information (allergies, special needs, etc)

Child 2 - Name

Child 2 - Birthdate

Child 2 - Grade Level

Child 2 - Any important information (allergies, special needs, etc)

Child 3 - Name

Child 3 - Birthdate

Child 3 - Grade Level

Child 3 - Any important information (allergies, special needs, etc)

Child 4 - Name

Child 4 - Birthdate

Child 4 - Grade Level

Child 4 - Any important information (allergies, special needs, etc)

Emergency Contact 1 Name (other than listed above)

Emergency Contact 1 Mobile Phone Number (other than listed above)

Emergency Contact 2 Name (other than listed above)

Emergency Contact 2 Mobile Phone Number (other than listed above)

AWANA REGISTRATION

AWANA Registration Form

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