AWANA Registration Form
For 3 Years - 12th Grade
Parent Name
First Name
Last Name
Parent Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Next
Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Child's Birthday
-
Month
-
Day
Year
Date
Which club will your child be attending?
Cubbies: 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-5th grade
Trek: 6th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
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Submit
Should be Empty: