Registration Form for AWANA
Please fill in 1 form per child. If registering multiple kids, please feel free to only fill in the parent information and emergency information on one form unless the family name changes.
Email address *
Participant Information
Please fill out a form for each child.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child will be in *
Child's Date of Birth *
MM
/
DD
/
YYYY
My child needs a uniform -$15 *
Any known FOOD allergies? (A coordinator will contact you for more details if you answered yes) *
Required
Any Medical Conditions we should be aware of? (A coordinator will contact you for more details if you answered yes) *
Required
Parent/ Guardian Information
If registering multiple kids with the same Last name, please feel free to fill this out only once.
Parent/Guardian First and Last Name
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email
Your answer
Address
Your answer
Are you interested in volunteering? (we do have positions that are not all year long)
Emergency Contact Information
If registering multiple kids with the same Last Name, please feel free to fill this out only once.
Person #1 to contact in case of emergency (please include Phone Number)
Your answer
Person #2 to contact in case of emergency
Your answer
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