AWANA Registration

AWANA REGISTRATION

Please register your children for the upcoming AWANA year and be sure to SUBMIT your form by clicking the SUBMIT button at the bottom of this page.

* Indicates required field

Parent/Guardian filling out this form *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number(s) *

Email *

Emergency Contact *

Emergency Phone *

Allergies/Special needs *

Additional people authorized to pick up your children *

1. Child's Name *

School Grade *

D.O.B. *

Gender *

2. Child's Name *

Grade *

D.O.B. *

Gender *

3. Child's Name *

Grade *

D.O.B. *

Gender *

*Do any of the children you are registering have allergies or special needs? If so, please specify below. *

Text Messaging *

Yes, text messaging No, please do not text

Submit