AWANA 2018-2019 Registration
Please fill out one registration form per child. Thanks!
First Name of Child
Last Name of Child
Current Grade in School
5K - SPARKS Club
1st Grade- SPARKS Club
2nd Grade- SPARKS Club
6th Grade-T&T (most 6th graders prefer to join Foundations, the youth group)
Mailing Address (please include town and zipcode if it is not Burlington, WI 53105)
Parents or Guardians Names
Other Phone Number
In case you can't be reached at the listed phone numbers, please list an emergency contact name, relationship, and phone number.
Please share any other information that might help us encourage and work with your child.
Where do you worship?
We regularly attend worship services at Faith Chapel.
We do not regularly attend worship services.
Could we share AWANA photos including your child on Faith Chapel’s social media?
Please "sign" your name and date to give your child permission to participate in Faith Chapel's AWANA program.
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