AWANA Registration
Used for Children K-5th on Wednesday Evenings
What is your child's name?
Your answer
What gender is your child?
What is your child's birthdate?
MM
/
DD
/
YYYY
What school grade is your child in?
Who will be bring this child to AWANA
Your answer
What is your street address?
Your answer
What is the parent or guardian's cell phone number?
Your answer
Would you like to receive periodic text about Awana and special themes that will happen during Awana?
Does your child have an food allergies?
Your answer
Are there any special instructions or other information you would like for us to know?
Your answer
My child, has permission to participate in the Awana program at Scott Lake Baptist Church during the 2016-17 year. Scott Lake Baptist Church has my permission to seek appropriate medical care for my child in the event that it is needed and I cannot be reached. Scott Lake Baptist Church may also take photos of my child and use for Awana promotion purposes only.
Your answer
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