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2023-2024 Awana Registration
Please fill out an individual form for each child you are registering
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Gender
*
Male
Female
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Age
*
Your answer
Child's School Grade
*
Toddler (2)
PreK (3&4)
K5
1st Grade
2ndt Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Awana Group
*
Awana Bees (2 yrs old)
Cubbies (3-4 yrs old)
Sparks (K5-2nd Grade)
T&T (3rd - 6th Grade)
Parent/Guardian Name
*
Your answer
Address (Street, City, Zip)
*
Your answer
Phone Number
*
Your answer
Emergency Contact (Name & Number)
*
Your answer
Name of Church You Regularly Attend, If Any?
*
Your answer
Does Your Child Have Any Allergies, Medications, or Medical Restrictions We Should Be Aware Of? (Please Describe Below)
*
Your answer
Does your child need van pickup?
*
Yes
No
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