AWANA REGISTRATION
We are so excited for the upcoming 2019/2020 Awana Year!!!! Please fill out this form to register your child(ren)... we will need a separate form per child! In addition to the registration form, we will also have you fill out a Medical/Release of Liability Form at our Awana Kickoff Celebration taking place on August 21st... or you can fill it out on the first night of club on August 28th.
Child's Last Name *
Child's First Name *
Child's Birthdate *
MM
/
DD
/
YYYY
School Grade *
Parents / Guardian Name(s) *
Which club will you be entering this year? *
Address *
Phone Number (Best contact during Awana for emergencies) *
Parent's Email - You will receive weekly updates *
Secondary Parent's Email - For weekly updates
Allergies or other Medical Conditions we should be aware of *
Names of family/friends that are authorized to pick up your child from their class (For safety reasons, the person picking up the child must be 18 or older. If other arrangements need to be made, please contact the child's teacher and/or director of the club.) *
My Church
Are you willing to be a substitute in your child's class? *
Other Special Needs/Considerations we should be aware of:
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