Awana Registration 2019/2020
Wednesdays 6:30-8:00pm
Start Date: Wednesday, September 18, 2019
One form per child
Child's Name *
Your answer
Child's Age *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
School Grade as of September 2019 *
Your answer
Name of Parent(s) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Parent/Caregiver's Cell Phone Number *
Your answer
Home Email Address *
Your answer
Home Church (if applicable)
Your answer
Allergies or other medical conditions
Your answer
Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of? If so please explain.
Your answer
Note
It is the responsibility of the parent(s) or legal guardian(s) to inform Fellowship Baptist Church if there are any changes in the above information during the 2019/2020 Awana program.
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