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New Awana Registration
NOTE: Registration is CLOSED for Trek
Household Information
Parent/Guardian #1
*
Relationship
Parent/Guardian #2
Relationship
Address
City
State
Zip
Enter alternate address for Parent/Guardian#2
Phone#
*
Address
City
State
Zip
Phone#
Other Emergency Contacts (include phone numbers)
Please include a phone# and name for each of your Other Emergency Contacts.
List others authorized to pickup your child
During meetings, I will normally be at
Awana as a leader
Home
Prayer Meeting
Somewhere else
Website Login / Email
I don't have an email address
Email
*
Alternate Email
New password
*
Please enter a password you'd like to use to login to this site.
What church do you attend?
Church attendance is NOT required. Enter NONE if you don't attend a church.
Child Information
First Name
*
Last Name
*
Gender
*
Please select...
Boy
Girl
Current Grade
*
Please select...
Puggles, Age 2
Pre-School (Cubbies)
Kindergarten (Sparks)
Grade 1 (Sparks)
Grade 2 (Sparks)
Grade 3 (T&T)
Grade 4 (T&T)
Grade 5 (T&T)
Grade 6 (T&T)
Birthdate
*
Month...
January
February
March
April
May
June
July
August
September
October
November
December
Behavioral Notes & Allergies
Please enter any special notes that we should know about your child. For example, allergies, special instructions, etc. If your child has any developmental delays or behavioral troubles, or ways to best work with your child this is helpful to know.
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Devon Clark
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