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Pre-Register for AWANA
Online Kids AWANA signup form for Rockwell Church 93 Midway Dr. Virginia MN (You do not have to sign in to Google to use this form if you don't want to).
If you are in our
Rockwell Church Realm
system or your kids attended VBS in June you can just send an email with your name and your kids' names to
staff@rockwell.church
and we can easily preregister that way.
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Email
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Your email
Quickly Sign Up Kids with this Pre-Registration form:
Child #1 First Name, Last Name, Birth Date (Day/Month/Year), Gender, School Grade level. [Optional: Allergies or medical conditions or special needs]
*
Your answer
Child #2 First Name, Last Name, Birth Date (Day/Month/Year), Gender, School Grade level. [Optional: Allergies or medical conditions or special needs]
Your answer
Child #3 First Name, Last Name, Birth Date (Day/Month/Year), Gender, School Grade level. [Optional: Allergies or medical conditions or special needs]
Your answer
Child #4 First Name, Last Name, Birth Date (Day/Month/Year), Gender, School Grade level. [Optional: Allergies or medical conditions or special needs]
Your answer
Child #5 First Name, Last Name, Birth Date (Day/Month/Year), Gender, School Grade level. [Optional: Allergies or medical conditions or special needs]
Your answer
Parents/Contact Info
Mom First Name, Last Name, Mobile #, Email
Your answer
Dad First Name, Last Name, Mobile #, Email
Your answer
Parents: Would you like to help?
Yes
No
Maybe
Clear selection
Home Address, City, State, ZIP
*
Your answer
Home Telephone (or main contact mobile ph)
*
Your answer
Optional: Other Caregiver and Mobile Phone
Your answer
Optional: In case of emergency: alternate contact name, phone # and relationship to child (besides mom and dad numbers)
Your answer
Home Church
Your answer
Thanks! We look forward to a great year of AWANA at Rockwell Church 93 Midway Dr Virginia come in through main doors from upper parking lot.
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