Awana Registration
Please fill out these questions for each clubber or leader that will be attending Awana this year.
First Name *
Your answer
Last Name *
Your answer
Address *
ex: 1505 Park Ave S, Park Rapids, MN 56470
Your answer
Phone number (cell) *
Include as many cell numbers as available to reach you. If there is no cell, fill blank with '0'
Your answer
Phone number (home)
Your answer
Email address *
If you do not have an email address type 'none@home.no'
Your answer
Emergency Contact (name/telephone) *
Your answer
Birthday *
Please put the date in the format of the following: 11/06/76 (month/day/year)
Your answer
Is this form being filled out by a leader or for an Awana clubber? *
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