AWANA Registration Form for NorthStone Baptist
For age 3 years old - 6th grade Starting September 8th at 6:45 PM
Parent's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Parent Email
*
example@example.com
Emergency Contact Person
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
What grade will your child be entering this year?
*
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Allergies (STATE NONE IF NONE) or special information (MEDICATIONS, ACTIVITY RESTRICTIONS)
Will You Need Transportation?
YES
NO
NorthStone Baptist has the right to use my child's picture on any of their social media site, printed material, and the church website.
YES
NO
Submit
Should be Empty: