2018-19 Awana Registration Form
Awana at Wilson's Mills Baptist Church runs from the first Wednesday night in September to May.
Child's Name *
Your answer
Child's Birth Date *
MM
/
DD
/
YYYY
T-Shirt Size *
Child's Current Grade *
as of September 5, 2018
Child's Allergies *
Type N/A, if there are none.
Your answer
Child's Address *
Your answer
City *
Your answer
Zipcode *
Your answer
Parent/Guardian’s Name *
Your answer
Parent/Guardian’s Phone *
Your answer
Parent/Guardian’s Email *
We will use this to send out periodic updates, but promise NOT to spam you!
Your answer
Emergency Contact
If same as parent, leave blank.
Your answer
Emergency Contact Phone
If same as parent/guardian’s phone, leave blank.
Your answer
Approved Persons for Pickup/Drop Off *
If multiple people, separate with a comma.
Your answer
Are you registering multiple children who have the same parents, address, emergency contact, and approved people to pick them up? If so, list the child's name, birthdate, T-Shirt size, current grade and allergies below. *
Child 2
Your answer
Child 3
Your answer
Child 4
Your answer
Child 5
Your answer
Is there any additional information you would like us to know about your child(ren)?
Your answer
Submit
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