AWANA Registration

AWANA Registration Form 2019-2020

Child's Name *

Date of Birth *

Grade for 2019 - 2020 School Year *

Address *

Country

City

State

Zip code

Parent/Guardian Name *

Parent/Guardian Address *

Country

City

State

Zip code

Phone *

Secondary Phone Number

Email

Emergency Contact Phone (not parent/guardian) *

Does your child have any known allergies? If so, how sensitive are they? *

Does your child have any medical concerns or needs that we should know about? *

Please list adults who may pick up your child besides yourself.

Please list adults who may pick up your child besides yourself.

Please list adults who may pick up your child besides yourself.

Photography *

I have read the below statement.

Throughout the year there will be many pictures taken of the participants of our AWANA clubs. Some of these pictures may be used by the church; social media posts, church bulletins, church announcements, etc. If you see a picture of your child that you would prefer not to be posted please contact the church office. Please check above acknowledging that you have seen this notice.

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