Awana Clubs Registration
Awana Clubs at Southland Baptist Temple, Paducah, KY, will be Wednesday evenings 6:30-8:00pm in the Activity Center for children ages 2 years through 6th grade. Parents, to register your children, please complete this form for each child. All registration information will be kept confidential. Thanks!
Child's Name
Your answer
Birth Date (mm/dd/yyyy)
Your answer
Grade
Allergies
Your answer
T-Shirt Size
Your answer
Gender
Child's Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
May we photograph your child during Awana?
Parent / Guardian's Names
Your answer
Address (if different)
Your answer
Phone Number (best way to reach you in an emergency)
Your answer
Parent / Guardian's Email Address
Your answer
OPTIONAL: Is your child involved with any court orders?
If yes, please list:
Your answer
List the full name(s) of anyone who is NOT ALLOWED to pick up your child from Awana:
Your answer
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