AWANA Registration 2019 - 2020
Welcome to the Osco Community Church online registration page for our Awana Program. Please take a moment and fill out this form for each child that will be participating in our Awana program during the 2019-2020 school year.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Did you attend AWANA last year? *
Does this child have any known Allergies, chronic illnesses, or other conditions the leadership should be aware of? (If not please type "None"). *
Your answer
Parental Information
If you are registering two or more children for the AWANA program, you only need to fill out this section for one child.
Parent's Name (First & Last Name)
Your answer
Address
Your answer
City
Your answer
Zip Code
Your answer
Cell phone number *
Please provide a Cell phone number that you can receive text messages for EMERGENCY PURPOSES only. We will only use the text message service to notify you of weather cancellations and emergencies.
Your answer
Home phone number
Your answer
Work phone number
Your answer
Email Address
We will only use this email for AWANA related information in an effort to keep you informed.
Your answer
Home Church
Your answer
Please list anyone else that you authorize to pick up your children.
Your answer
Emergency Contact Information
If you are registering two or more children for the AWANA program, you only need to fill out this section for one child.
Emergency Contact Name *
Please provide an emergency contact other than a parent in the event that a parent cannot be reached
Your answer
Relation to child *
Your answer
Emergency Contact Phone Number *
Your answer
Family Physician
Your answer
Family Physician - Phone Number
Your answer
Do you need to add other participants? *
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