2018 Awana Registration Form
Child's Name *
In Awana, we call them Clubbers :)
Your answer
Mailing Address *
Your answer
Parent/Guardian Name *
Your answer
Email Address
Your answer
Phone Number - Home
Your answer
Phone Number - Cell
Your answer
Clubber's Birthdate *
Your answer
Clubber's Age *
Your answer
School Grade *
Grade Your Clubber Will Enter for the 2018 School Year - Please choose from the choices below
School My Clubber Attends
Your answer
Allergies/Medical Concerns
Please list any food allergies or medical conditions we need to be aware of:
Your answer
Church your child/family attends:
Your answer
Consent *
- As the parent/guardian of stated clubber above, I give permission for LGBC Awanna clubs to contact my child by written communication and/or telephone to inform or discuss club activities.
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