LBC Awana Registration
Please complete a SEPARATE form for each child you have attending Awana at Lakewood Baptist Church.
Child's Name *
Your answer
Choose your child's Awana Club *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
I am this child's...... *
Emergency Contact Name (Please list someone other than yourself) *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relation to Child *
Your answer
Who may pick up your child from Awana. *
Your answer
Is there anyone who is not allowed to pick up your child from Awana? *
Your answer
Please list any allergies your child has.
Your answer
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