Awana Registration
Sign your child(ren) up for Awana by filling out this form
Child's Name *
Your answer
Grade *
Your answer
Birthday *
MM
/
DD
/
YYYY
Street *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent/Guardian Name(s) *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Email Address *
Your answer
Allergies/Medical Conditions *
Your answer
Who may pick your child up? *
Your answer
Name and Number of Emergency Contacts *
Please list 2
Your answer
Submit
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