2016/17 AWANA Registration
Join the fun every Thursday afternoon from 4:00 to 5:30 p.m. The fall club begins October 6. You don't want to miss a single day of fun and learning!
Child's Full Name *
Your answer
Age *
Your answer
Date of Birth *
Your answer
School
Your answer
What Group Will Your Child Be In? *
Parent/Guardian's Full Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Does Your Child Have Any Allergies? *
If "Yes," Please Tell Us About Them
Your answer
Name of Emergency Contact
Your answer
Relation to Child
Your answer
Phone Number (In Case We Can't Reach You)
Your answer
Does Your Child Have Any Health Concerns? *
If "Yes," Please Specify.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Alliance Bible Church. Report Abuse - Terms of Service - Additional Terms