2018_2019 Awana Registration
When: Sundays starting End of August, Date to be announced.
Times: 6:00 PM - 8:00 PM
Where: Harvest Baptist Church
201 Lucas Drive, Blacksburg, VA 24060
Who: Age 3 through high school
Questions: harvestawana@gmail.com or 540-522-1267

Children must have conversational English skills or a parent willing to stay with the child.

General Information:
Parent/Guardian: *
First and Last Name
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Email Address *
An email loop will be established at the beginning of the year. Please make sure to check your e-mail often so that you receive updates.
Your answer
Phone Number: *
Your answer
Church: *
Your answer
Emergency Contact Name *
First and Last Name
Your answer
Emergency Contact Phone Number: *
Your answer
The person usually picking up my child/children: *
Your answer
How did you hear about Awana? *
Required
Child #1:
Child's Name: *
First and Last Name
Your answer
Date of Birth: *
Month/Day/Year
Your answer
Grade: *
Your answer
Name of School: *
Your answer
Allergies/Medical Conditions: *
Your answer
My Child is: *
My Child's Primary Language(s): *
Children must have conversational English skills or a parent willing to stay with the child.
Required
My Child is in: *
Register Another Child?
*
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