AWANA Registration
When: Wednesday Evenings, 6:30-8:00pm
Where: Calvary Baptist Church, 1920 St. Rd. 22 West, Wilmington, OH 45177
Contact us at (937) 382-6517 or contactus@cbcwilmington.net
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
Grade *
Your answer
Food Allergies *
Your answer
List of Medications *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Parent/Guardian Name(s) *
Your answer
Home Church *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms
Google Forms