AWANA Registration Form
Tri-City Bible Church AWANA Registration Form
Child's Gender *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
Your answer
Child's Grade *
Parent(s) Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Home Church *
Your answer
Home Phone *
Your answer
Parent Cell Phone *
Your answer
Email *
Registration Confirmation will be sent to this email address
Your answer
Emergency Contact (Other than Parents - Name and Phone Number) *
Your answer
Register Additional Children in Same Household: Gender; Name; Birth Date; Grade
Your answer
Questions or Comments
Your answer
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