Register for AWANA

Parent Information
Please enter the name of one or both parents.
Phone Number *
Phone Number
Please list the best number to reach you at.
Please let us know what type of phone number you listed above.
Child Information
1st Child's Name *
1st Child's Name
1st Child's Birthdate *
1st Child's Birthdate
Please choose your child's current grade in school, if applicable.
This will give us an idea of what size shirts/vests to order. Remember that children may have the same shirt/vest for 3 years.
Please list any allergies, food allergies, or other health concerns that our AWANA staff needs to be aware of.
2nd Child's Name
2nd Child's Name
2nd Child's Birthdate
2nd Child's Birthdate
Please choose your child's current grade in school, if applicable.
This will give us an idea of what size shirts/vests to order. Remember that children may have the same shirt/vest for 3 years.
Please list any allergies, food allergies, or other health concerns that our AWANA staff needs to be aware of.
3rd Child's Name
3rd Child's Name
3rd Child's Birthdate
3rd Child's Birthdate
Please choose your child's current grade in school, if applicable.
This will give us an idea of what size shirts/vests to order. Remember that children may have the same shirt/vest for 3 years.
Please list any allergies, food allergies, or other health concerns that our AWANA staff needs to be aware of.
4th Child's Name
4th Child's Name
4th Child's Birthdate
4th Child's Birthdate
Please choose your child's current grade in school, if applicable.
This will give us an idea of what size shirts/vests to order. Remember that children may have the same shirt/vest for 3 years.
Please list any allergies, food allergies, or other health concerns that our AWANA staff needs to be aware of.
5th Child's Name
5th Child's Name
5th Child's Birthdate
5th Child's Birthdate
Please choose your child's current grade in school, if applicable.
This will give us an idea of what size shirts/vests to order. Remember that children may have the same shirt/vest for 3 years.
Please list any allergies, food allergies, or other health concerns that our AWANA staff needs to be aware of.
Pick Up/Drop Off Information
Please list any other adults (besides parents) who are authorized to drop-off or pick-up your child(ren) for AWANA.
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Church Information and Notes
Do you have any additional notes or questions for our AWANA staff? If so, please list them here.