AWANA Club Registration
Please complete one form per child.
Your signature will be required when you bring your child(ren) to the first night of AWANA.
First and Last Name: *
Your answer
Mailing address *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Phone Number *
Your answer
Alternate Phone Number or Emergency Contact
Your answer
email address *
Your answer
Parent / Guardian Name(s) *
Your answer
Name(s) of the only person(s) other than parents listed, that may pick up your child from AWANA
Your answer
Child's Age *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Grade *
Your answer
School *
Your answer
Allergies
Your answer
Your Home Church
Your answer
May we have permission to call your child with encouragement? *
May we have permission to send your child a note or card (ie: birthday or encouragement)? *
May we have permission to take your child's photo during club activities? *
Comments
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