AWANA REGISTRATION

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AWANA REGISTRATION

Parents (and/or guardians) – Awana happens Wednesday evenings beginning on September 17th and runs through the beginning of April 2026. It is for kids who are 3 years old by September 1, 2025 (and potty trained) through 5th grade.

We are so grateful to play a part in your child's spiritual journey! Please fill out the following so we can stay connected. This form will also help us to care for the kids in your family, as you share needs or any medical concerns with us.

Parent/Guardian Name *

Mailing Address (Street Address, City, State, Zip Code) *

Mobile Phone Number *

Email Address *

Child's Name *

Child's Birthdate *

YYYY

Child's Grade Level (for the 2025-2026 school year) *

Any important information (allergies, special needs, etc) *

Child 2 Name

Child's Birthdate

YYYY

Child's Grade Level (for the 2025-2026 school year)

Any important information (allergies, special needs, etc)

Child 3 Name

Child's Birthdate

YYYY

Child's Grade Level (for the 2025-2026 school year)

Any important information (allergies, special needs, etc)

Child 4 Name

Child's Birthdate

YYYY

Child's Grade Level (for the 2025-2026 school year)

Any important information (allergies, special needs, etc)

Emergency Contact 1 Name (other than listed above)

Emergency Contact 1 Phone Number (other than listed above)

Emergency Contact 2 Name (other than listed above)

Emergency Contact 2 Phone Number (other than listed above)

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