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Awana Registration

  • Child Personal Information

  • Must be age 3 by September 1, 2021 through 6th grade
  • If you are registering multiple children under the same parent/guardian please select the total number of children.
  • 2nd Child

  • Must be age 3 by September 1, 2021 through 6th grade
  • 3rd Child

  • Must be age 3 by September 1, 2021 through 6th grade
  • 4th Child

  • Must be age 3 by September 1, 2021 through 6th grade
  • 5th Child

  • Must be age 3 by September 1, 2021 through 6th grade
  • 6th Child

  • Must be age 3 by September 1, 2021 through 6th grade
  • Parent/Guardian Personal Information

  • Emergency Contact Information

    (In case parent/guardian cannot be reached)
  • Medical Information

  • Permission and Release

  • By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
  • MM slash DD slash YYYY
  • Section Break

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