Awana Registration Form

 

Family

Family name: __________________________Home Phone: (          )________________

Friday night number: (          )________________ (cell?)

Address: ______________________________________________ City:_____________

Postal Code:__________________ e-mail:__________________________________

Church:_________________________________ Church phone: (          )______________

Male Guardian:_______________________ relation to child:______________________

e-mail:_________________________ work phone number:________________________

Female Guardian:________________________ relation:__________________________

e-mail:_________________________ work phone number:________________________

 

Children:

Name: _____________________________ Birthdate: ___________________Grade: __

Sex: ____ Allergies:____________________________________________________

Name: _____________________________ Birthdate: ___________________Grade: __

Sex: ____ Allergies:____________________________________________________

Name: _____________________________ Birthdate: ___________________Grade: __

Sex: ____ Allergies:____________________________________________________

Name: _____________________________ Birthdate: ___________________Grade: __

Sex: ____ Allergies:____________________________________________________