2017_2018 Awana Registration
When: Sundays starting September 3, 2017
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?
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms