Awana Registration

Please fill out this form and click submit.
 
Please select one option.
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
 
Please select all that apply.
 
 
 
 
Emergency Contact Information

For the safety and well-being of this child please provide 1 person (other than the parent or legal guardian listed above) and their phone number where they can be contacted during Awana in the event of an emergency.
 
 
 
 
Please select all that apply.

Description

Please fill out this form and click submit.