AWANA Registration Form
Please complete one form per child. Thank you
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AWANA meets Wednesday nights from 6:30-8:00 PM
Child's Name *
Parent/Guardian Name *
Full Address *
Mailing Address (if different from above)
Parent's Email Address *
Parent's Cell Phone # *
Age Information
Child's Date of Birth *
Please indicate child's age/grade *
Medical Information
Where does your child currently attend school? (if homeschooled, write homeschool) *
Medical or other information we need to know (Please include any food allergies) (if nothing, please write N/A) *
Emergency Contact (other than listed above)
Name and Phone # *
Dismissal Information
Who may pick up your child at the end of each AWANA Day? *
Other Information
Do we have permission to photograph your child? *
Do we have permission to use your child's photograph for the purpose of promotion? *
Where did you hear about AWANA at Parkside Baptist? (check all that apply) *
Has your child/children ever been a part of AWANA before? (at any church) *
If so, where?
Thank you for registering your child for AWANA at Parkside Baptist Church. We are looking forward to a great year!
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