Awana Registration Form

Fill Out this Online Form to Register Your Child for Awana

Child's Information

MM slash DD slash YYYY
Child's Name(Required)
Sex(Required)
Address(Required)
MM slash DD slash YYYY
Please enter a number from 0 to 13.
Grade (as of Sept. 1st)

Parent/Guardian Information

Parent/Guardian's Name(Required)
How should we contact if needed?
Additional Parent/Guardian's Name
How should we contact if needed?

Security Information

Emergency Contact Name (Other than parent/guardian)(Required)