Awana Registration

Last Name: First Name:
Middle Initial:    
Address:
City: State:
Zip:    
Home Phone: Cell Phone:
Parent's Email:    
Gender: Grade:
(based on the 09/10 school year)
Birth Date: (00/00/00)  
Church:
 (if attended regularly)
Shirt Size:    
Special Needs or Considerations:
Should include any special needs your child may have.
       
Parent/Cuardian Information:    
Father/Guardian: Work Phone:
Mother/Guardian: Work Phone: