AWANA Registration Form (Fall 2019)
Online registration for AWANA Wednesday Night Program at Corinth Baptist Church.
(Please fill out an individual form for each child being registered)
* Required
Email address
*
Your email
Child's Name (first and last)
*
Your answer
Child's Gender
*
Female
Male
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Grade (as of September 1, 2019)
*
Choose
Toddler (2-3 years old)
Pre-K (the 2 years before Kindergarten)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Shirt Size
*
Choose
2T
3T
4T
5T
6T
Child size 4
Child size 5
Child size 6
Child size 8
Child size 10
Child size 12
Child size 14
Child size 16
Adult size S
Adult size M
Adult size L
Adult size XL
Adult size XXL
Adult size XXXL
Home Address
*
Ex. 101 County Line Road, Providence Forge, VA 10101
Your answer
Home Phone Number
*
Your answer
What (if any) church do you normally attend?
*
Corinth Baptist Church
Other:
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