Awana Registration 2011/2012
After entering the information, please hit the tab key to get to the next field.  After entering all information for your child(ren), please scroll down to the bottom and select the "Submit" button.  Up to three (3) children can be registered per form.
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Last Name of Parent/Guardian #1 *
First Name of Parent/Guardian #1 *
Last Name of Parent/Guardian #2
First Name of Parent/Guardian #2
Street Address *
Do not include city, state, zip
City *
Zip Code *
Main Phone Number *
Cell Phone Number
Email Address
Name of Church currently attending? *
Location on Wednesday night during Awana *
Emergency Contact *
Include Name, Relationship, and Contact Phone Number(s)
Is High Point Church authorized to approve medical treament? *
Is High Point Church authorized to use a photo of your child participating in this activity? *
Where do you have an interest in volunteering? *
First Name of Child #1 *
Last Name of Child #1 *
Male/Female of Child #1 *
Required
Age of Child #1 *
Date of Birth of Child #1 (mm/day/yyyy) *
School of Child #1
Club For Child #1 *
List any Allergies of Child #1.  Type "None" if your child has no allergies. *
List Current Medications of Child #1 *
Type "None" if your child does not take any medication.
Group Child #1 with another child?  If "yes", please list child's name below.
Registration Fee for Child #1 *
If you would like to request financial assistance, please contact the Awana Commander.
Required
Supplies for Club for Child #1 *
Required
First Name of Child #2
If all of your children have been registered, please scroll down to the bottom of the form and select "Submit".
Last Name of Child #2
Male/Female of Child #2
Age of Child #2
Date of Birth of Child #2 (mm/day/yyyy)
School of Child #2
Club For Child #2
List any Allergies of Child #2
Type "None" if your child has no allergies.
List Current Medications of Child #2
Type "None" if your child does not take any medication.
Group Child #2 with another child?
If "yes", please list child's name below.
Registration Fee for Child #2
If you would like to request financial assistance, please contact the Awana Commander.
Supplies for Club for Child #2
First Name of Child #3
If all of your children have been registered, please scroll down to the bottom of the form and select "Submit".
Last Name of Child #3
Male/Female of Child #3
Age of Child #3
Date of Birth of Child #3 (mm/day/yyyy)
School of Child #3
Club For Child #3
List any Allergies of Child #3
Type "None" if your child has no allergies.
List Current Medications of Child #3
Type "None" if your child does not take any medication.
Group Child #3 with another child?
If "yes", please list child's name below.
Registration Fee for Child #3
If you would like to request financial assistance, please contact the Awana Commander.
Supplies for Club for Child #3
Submit
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