Midway Baptist Church Awana Registration Form
For boys and girls 2 years old* - High School
*Puggles must be two years old as of September 30 of this current year to participate.
Parent/Guardian
First Name
Last Name
Mobile Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Church
If you are an active member of a local church, which church?
Back
Next
Clubber/Student (please register your first Clubber)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Age
*
Current Age of your Clubber
Grade
*
Please Select
Not yet in school or PreK
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Special Information (Allergies, etc.)
I have another Clubber to register
*
Yes
No
Back
Next
Clubber/Student (please register your first Clubber)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Age
*
Current Age of your Clubber
Grade
*
Please Select
Not yet in school or PreK
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Special Information (Allergies, etc.)
I have another Clubber to register
*
Yes
No
Back
Next
Clubber/Student (please register your first Clubber)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Age
*
Current Age of your Clubber
Grade
*
Please Select
Not yet in school or PreK
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Special Information (Allergies, etc.)
I have another Clubber to register
*
Yes
No
Back
Next
Clubber/Student (please register your first Clubber)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Age
*
Current Age of your Clubber
Grade
*
Please Select
Not yet in school or PreK
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Special Information (Allergies, etc.)
I have another Clubber to register
*
Yes
No
During Awana, where will the parents/legal guardians be:
Of note: Puggle and Cubbie children must be brought by a parent or legal guardian and he/she MUST REMAIN on the church property during all Awana activities. See Commander if exception is needed.
Submit
Should be Empty: