Awana Master Sign Up 2023-2024
Make sure to complete all fields that have an * because they are required for registration.
* First Name
* Last Name
* Gender
Female
Male
* Birth Date
* Grade (Current)
Select one
Not Applicable
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 High School 2019
Graduated High School 2018
Graduated High School 2017
Graduated High School 2016
Graduated High School 2015
Graduated High School 2014
Graduated High School 2013
Graduated High School 2012
Graduated High School 2011
Graduated High School 2010
Graduated High School 2009
Graduated High School 2008
Graduated High School 2007
Graduated High School 2006
* Allergy & Medical Concerns
No Known Food Allergies
Peanut Allergy
Tree Nut Allergy
All Nut Allergy
Eggs Allergy
Seafood Allergy
Milk Allergy
Banana Allergy
Orange Allergy
Strawberry Allergy
Apples Allergy
Cantaloupe Allergy
Pineapple Allergy
Mango Allergy
Raspberry Allergy
Kiwi Allergy
Corn Allergy
Soy Allergy
Rice/Oats/Wheat Allergy
Carrot Allergy
Amoxicillin Allergy
Red Food Dye Allergy
Latex Allergy
Bee Sting Allergy
Penicillin Allergy
ADD
Cerebral Palsy
Epilepsy
Asthma
Autism
Aspergers
ADHD
Diabetic
Ragweed
Seasonal Allergies
Eats Meat Free
Eats Gluten Free
Other (List in Special Notes)
Special Notes
* Parent Email
* Parent/Guardian 1
* Cell Phone of Parent/Guardian 1
Relationship of Parent/Guardian 1 to Child
Parent/Guardian 2
Cell Phone of Parent/Guardian 2
Relationship of Parent/Guardian 2 to Child
Address
City
State/Province
Zip/Postal Code
* Authorized Persons for Pick-Up
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