Zip Nite Awana Registration Form 2021-2022
Use this form to register up to 4 children in grades K-6 from the same family. We are hoping to have a nursery for younger children; you will have a chance to indicate your interest in a nursery below in the Parents section.
Child #1 Name *
Child #1 Grade *
Will this child be participating in Awana?
Clear selection
Child #1 Birthdate
MM
/
DD
/
YYYY
Child's school
Medical
List any food allergies this child has. If there any other medical or behavioral information we need to know regarding this child, please list them below.
Do you want to register a 2nd child?
Clear selection
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