AWANA
Welcome to AWANA registration.
*
Child
First Name
*
Child
Last Name
*
Child
Email
*
Child
Mobile Phone
*
Child
Address
*
Child
City
*
Child
Zip/Postal Code
*
Child
Allergy/child notes
*
Child
Birth Date
*
Child
Grade in School
Select one
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Graduated
*
Child
Gender
Female
Male
* Emergency Contact Name
* Emergency Contact #
*
Child
T-Shirt Size
Select one
Youth X-Small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2XL
Adult 3XL
*
Child
Home Phone
*
Child
State/Province
* photo release signature
* Liability release form signature
Add Another Child
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