Southland Baptist Temple Awana Clubs Registration for 2019-2020
Awana Clubs at Southland Baptist Temple, Paducah, KY, will be Sunday evenings 5:00-6:30pm in the Activity Center for children ages 2 years through 6th grade.

To register your children, please complete this form for each child. All information will be kept confidential.

Email questions to sbtawana@gmail.com. Thank you for registering your child!
Email address *
Child's Full Name *
Your answer
Child's Birth Date *
MM
/
DD
/
YYYY
Child's Grade *
Child's Gender *
Child's Food Allergies
Your answer
Child's Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
May we photograph your child during Awana *
Parent's / Guardian's Full Names *
Your answer
Parent's / Guardian's Address (if different from child being registered)
Your answer
Parent's / Guardian's Phone Number (best and quickest way to reach you in an emergency) *
Your answer
OPTIONAL: Is your child involved with any court orders?
List the full name(s) of anyone who is NOT ALLOWED to pick up your child from Awana:
Your answer
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