Brunswick Church 2022/23 AWANA Clubs Child Registration for Kids K-5

Registration for Brunswick Church 2022/23 AWANA Clubs Wednesdays 6-7:30 PM for Kids K-5. Meets when schools are open.

Please use one form per child. * Required field
Child First Name *
Child Last Name *
Gender *

Male Female
Date of Birth (MM/DD/YYYY *
Address *
City *
State *

NY
ZIP *
Grade *

K 1 2 3 4 5
School *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Best Phone *
Other Phone
Parent/Guardian Email *
Child Allergies or Other Medical Conditions *
Emergency Contact
You have my permission and consent for my child to attend AWANA, to participate in its activities, to receive emergency treatment if necessary and to allow photographs, videos, and interviews to be taken and published and used to illustrate, promote, and advertise activities at Brunswick Church. I have read and understand these instructions....
Signature Parent/Guardian *
Should be Empty:

Registration for Brunswick Church 2022/23 AWANA Clubs Wednesdays 6-7:30 PM for Kids K-5. Meets when schools are open.