Awana Registration

Midway Baptist Church (Phenix, VA) AWANA Registration

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 NameLast Name
Mobile Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

CityState

Zip Code
Home Church
What is the name of your home church? (If you don't currently have one please type NONE.)
PLEASE 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.
During AWANA, where will the parent/legal guardian be:
Child's Information
Should be Empty: