AWANA Registration 2025/26

Child's Name

Grade (this fall)

Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Birth Date

Age

Gender

Male Female

Please list any allergy/medication/special needs information we should be aware of (or write N/A if none).

Address

Phone

Parents Names

This address will receive a confirmation email

Mother's Cell Phone

Father's Cell Phone

Emergency Contact Name & Cell Phone

Please list all persons (other than parents) who are authorized to pick up your child.

Description

Wednesdays, 6-7:30 pm, beginning September 3, 2025

Please fill out this form and click submit. Thank you!