2016-2017 AWANA Registration
We are excited to have your child(ren) join us for the 2016-2017 AWANA Program at Waikiki Baptist Church (WBC). Thank you in advance for taking the time to fill out the registration form. It will ensure that we have the necessary information for each child.

The first official club night of the year is Thursday, September 22, @ 5:10 PM - 6:45 PM.

$25 Registration fee, per clubber. The fee covers the cost of material and awards for the club year.

CHILD'S INFORMATION
Please fill out the information below for each child.
Child's Name
Your answer
Child's Age
Your answer
Child's School Grade
Your answer
AWANA Club
Choose the club that is age and grade appropriate for your child.
Additional Child(ren)
2nd Child's Name
If applicable, 2nd Child's Info
Your answer
2nd Child - Age
Your answer
2nd Child - School Grade
Your answer
2nd Child - AWANA Club
3rd Child's Name
If applicable, 3rd Child's Info
Your answer
3rd Child - Age
Your answer
3rd Child - School Grade
Your answer
3rd Child - AWANA Club
PARENT INFORMATION
Parent's Name
Your answer
Phone Number
What is the best number to contact you?
Your answer
Email
Your answer
Snail Mail Mailing Address
Your answer
EMERGENCY
EMERGENCY Contact Person
Who is the person we contact if you are unreachable?
Your answer
EMERGENCY Contact - Relationship to Child
Your answer
EMERGENCY Contact Phone Number
Your answer
Does your child have any food allergies we need to be aware of?
If your child does have food allergies, please explain.
Your answer
How did you hear about us?
Your answer
How did you hear about us?
Your answer
AUTHORIZATION
Authorization to share photos on promotional materials.
From time to time, we like to share what is happening in the Waikiki Baptist AWANA Club.
Please List the people who are authorized to pick up your child.
An ID may be required to pick up your child. If this changes, you will need to call the church office to inform us.
Your answer
Name of Parent/Guardian submitting the AWANA form.
An ID may be required to pick up your child. If this changes, you will need to call the church office to inform us.
Your answer
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