AWANA Registration

1. Please register your children for the upcoming AWANA year and be sure to submit your form.

* 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