2019/2020 AWANA Registration

Sept 11 thru May 15 | 6:30-7:45pm | Please fill out this form and click submit.

Hi — we're excited you're here to register your child for AWANA!


What You'll Need
Most of this is in your amazing brain, but you'll probably need your insurance card and phone to look up your emergency contact's number.

Thank you! We can't wait to hang out with your kids at AWANA!

Guardian Information

 
 
 
 
 
Pick-Up

 
Emergency Contact

Parents are always our first contact in the event of an accident or emergency, so please do not put your or your spouse's name here. List an additional emergency contact.
 
 
 
Child's Information

 
Please select one option.
 
 
 
 
 
 
Please select one option.
Please select one option.
2nd Child Information

 
Please select one option.
 
 
 
 
 
 
Please select all that apply.
Please select all that apply.
3rd Child Information

 
Please select one option.
 
 
 
 
 
 
Please select all that apply.
Please select all that apply.
 
 
 
 
Medical Info

Please select one option.
 
 
 
Waiver · Release · Signature

Please select one option.
Please select one option.
Please select one option.
Please select all that apply.
 
 
 
 
 
 
 
 
 
 

Description

Sept 11 thru May 15 | 6:30-7:45pm
Please fill out this form and click submit.