AWANA Registration Form
PLEASE FILL OUT ONE FORM PER FAMILY (up to 4 kids)

For any children ages 3 (must be potty trained) - 6th grade.

PRICES: $35 per child, $85 for a family of 3 or more kids.

PLEASE BRING CASH OR CHECK WITH YOU ON THE FIRST DAY THAT YOU ATTEND.

Parent Information
Parent/Guardian (1) Name *
Your answer
Relation *
Your answer
Parent/Guardian (1) Phone Number *
Your answer
Parent/Guardian (2) Name
Your answer
Relation
Your answer
Parent/Guardian (2) Phone Number
Your answer
Address *
Your answer
Primary Email *
Email is our primary form of communication.
Your answer
Alternate Email
Your answer
Local Church You Attend
Your answer
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