Awana Registration Form

Please submit a separate form for each child being registered.

Child's Name (required)

Child's Age (required)

Child's Birthdate (required)

Child's Medical Care Card No (required)

Child's Allergies

Parents Names (required)

Your Name (required)

Your Email (required)

Home Phone (required)

Mobile Phone (required)

Home Address (required)

City (required)

Postal Code (required)

Home Church

Where did you hear about us

Your Message