AWANA Registration

Please use this form to register your child for our AWANA program. Once you have completed ALL of the form you can hit the "Submit Form" button and your done. AWANA Clubs start on Sunday, September 11 at 6:00 pm; We will see you then!

CHILD INFORMATION:

Child's First Name: Child's Last Name:

Age: Class/Grade:

Allergies or other Medical Information we should know about:

PARENT/GUARDIAN INFORMATION:

Parent/Guardian Full Name:

Parent/Guardian Address:

Parent/Guardian Phone Number:

Parent/Guardian E-Mail:

Do you have a current church home?

YES NO If Yes, where:

Other important Information: