Language
English (US)
CHILD Registration Brunswick Church AWANA 2023-2024 Wednesdays 6:00-7:30 PM - Starting Sept 27 with an Open House and club starts Oct 4.
* Required Fields
Child Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Child Date of birth
Address
*
City
*
State
*
NY
Other
Zip
*
Parent/Guardian Phone
*
Other Contact Phone
Parent/Guardian Email
*
example@example.com
Allergies or other medical condition
Home Church
2023/2024 School year grade
Preschool (3yrs-old, potty trained) (WE DO NOT ALWAYS HAVE THIS GROUP)
K-2nd Grade
3rd-6th Grade
Comments
Submit
Should be Empty: