Join the Fun: Awana Kick-Off Registration
Awana Kick-off & Parent Orientation
There are currently no events available for registration.
Student First Name
*
Student Last Name
*
Preferred Name
Home Phone
Student School Grade
*
-- None --
Nursery
Toddler
Pre - K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Youth Leader/Pastor
School Attending
Student's Address
*
City
*
Zip Code
*
Student Special Needs
*
Yes
No
Gender
Male
Female
Student Date of Birth
*
Main Guardian
*
Mother
Father
Other (please specify)
Main Guardian Name (if different than mother or father)
Guardian Mobile Number
*
T-shirt Size
Youth X-Small
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Student Salvation
Yes
No
Salvation Date
Student Allergies
*
Please list any additional information about your student that you think the staff should know.
Approved Child Pick Up List
*
Parent/Guardian Information
Mother's Full Name
Mother's Mobile #
Mother's Address if Different than Student
Father's Full Name
Father's Mobile #
Father's Address if Different from Student
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