AWANA Registration 2020-2021

AWANA Registration 2020-2021
AWANA is a mid-week Bible club for kids. It will include a Bible lesson, game time, a snack, and handbooks.

It is lots of fun as the kids learn about Jesus and growing in their relationship with Him.

It is for kids ages 3 to 5th grade starting September 9, 6:45-8:10 PM every Wednesday.

Please fill out the form below so we can have the right number of matierals for each child that attends. Thank You!
Child's Information
Name *

First Name Last Name
Birth Date *

Month Day Year
Grade *
Gender *

Male Female
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent/Guardian Information
Name *

First Name Last Name
Home Number

Area Code Phone Number
Cell Number *

Area Code Phone Number
E-mail *
Emergency Information
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Alt. Phone Number

Area Code Phone Number
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe. *
Is the child prescribed an inhaler? If yes, please explain any instructions. *
Does child need GBC bus transportation? *

Yes No
Does your child have a book?

Yes No
What is your child's current book?
Additional info we may need about your child
Should be Empty: