Please fill out the Pre-Registration form below.

After you successfully submit the form, you will receive an email with a link to download the Awana Registration form. Please fill out the form and turn it in to one of our AWANA Team Members.

We look forward to seeing you soon!

 

 

AWANA Pre-Registration

Enter Parent's First Name
Enter Parent's Last Name
Enter Parent's Email Address
Enter Parent's Phone Number
Enter Child's First Name
Enter Child's Last Name
Enter Child's Grade Level For 2023-2024 School Year:

Please list any medical problems or other information we need to know. (please include any food allergies.)

Child 2

Enter Child 2 First Name
Enter Child 2 Last Name
Enter Child 2 Grade Level For 2023-2024 School Year:

Please list any medical problems or other information we need to know. (please include any food allergies.)

Child 3

Enter Child 3 First Name
Enter Child 3 Last Name
Enter Child 3 Grade Level For 2023-2024 School Year:

Please list any medical problems or other information we need to know. (please include any food allergies.)

Child 4

Enter Child 4 First Name
Enter Child 4 Last Name
Enter Child 4 Grade Level For 2023-2024 School Year:

Please list any medical problems or other information we need to know. (please include any food allergies.)

Emergency Contact Information:

Contact #1
Enter Emergency Contact 1 First Name
Enter Emergency Contact 1 Last Name
Enter Emergency Contact 1 Phone Number
Contact #2
Enter Emergency Contact 2 First Name
Enter Emergency Contact 2 Last Name
Enter Emergency Contact 2 Phone Number