Clone of Awana Registration Form

AWANA Registration Form

For Pre-K through 5th Grade
Parent/Guardian Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number

Area CodePhone Number
Authorized Person(s) for Pick-Up
Please enter your child's information below.
Child's Name

First NameLast Name
Gender
At this time, we have begun a waitlist for the Cubbies Class (Prek -4 year old). Please email kacey@mercyhillfl.com to have your student added to the list.
What grade will your child be entering this year?
Allergies? If none please state "none"
If you would like to pay for registration online, there is a link on the thank you page after you submit this form.
Should be Empty:

AWANA Registration Form