Awana

Name of Parent/Guardian (First and Last) *

Email Address *

Relationship to child *

Is your information already on file?

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Best phone number to reach you *

Are you able and willing to receive Awana text updates at this phone number? (e.g. cancellations due to weather)

You can add more than one child at a time.

Name of child *

Birthdate *

Current age *

School Grade for 2022-2023 School Year (if applicable)

Allergies/Medical issues/Other special information

Emergency contact name *

Emergency contact phone number *

Emergency contact's relationship to child *

Who all is authorized to pick up your child (include yourself and emergency contact if they have permission) *

Yes

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