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Awana Registration 2024
Parent Information
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Email
*
Your email
Parents Name
Your answer
Address
Your answer
Phone Number
Your answer
Child’s Name
Your answer
Date of birth
MM
/
DD
/
YYYY
Grade
Your answer
Allergies/ Medical Information
Your answer
Authorized Pick up of all children other than parents listed above :
Your answer
Child 2 Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Your answer
Allergies/Medical Information
Your answer
Child 3 Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Your answer
Allergies/Medical Information
Your answer
Do you have a home church?
Yes
No
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