AWANA Club Sign Up

Please complete this form to confirm your information or to register new students for our AWANA Club. You may confirm from 1 to 6 student(s) at a time. If you need to give information for more students, please place all details in the "additional notes and comments" section at the bottom of this form. Thanks so much for joining us!

Parent/ Guardian Name 1 (First and Last)

Parent/ Guardian Role

Please select one option.

Father Mother Grandmother Grandfather Sibling Uncle Aunt Family Friend Other

Parent / Guardian Email

This address will receive a confirmation email

Would Like Email Notifications

Please select one option.

Yes No

Parent/ Guardian Cell Number

Would Like Text Notifications

Please select one option.

Yes No

Parent/ Guardian Home Number

Address

Parent/ Guardian Name 2 (First and Last)

Parent/ Guardian Role

Please select one option.

Father Mother Grandfather Grandmother Sibling Uncle Aunt Family Friend Other

Parent/ Guardian Email

Would Like Email Notifications

Please select one option.

Yes No

Parent/ Guardian Cell Number

Would Like Text Notifications

Please select one option.

Yes No

Parent/ Guardian Home Number

Parent/ Guardian Address

Additional Emergency Contacts (First and last Name, Role, and Phone Numbers)

Student Name 1 (First and Last)

Birthday

Grade

School

Allergies or special notes

Student Name 2 (First and Last)

Birthday

Grade

School

Allergies or Special Notes

Student Name 3 (First and Last)

Birthday

Grade

School

Allergies or Special Notes

Student Name 4 (First and Last)

Birthday

Grade

School

Allergies or Special Notes

Student Name 5 (First and Last)

Birthday

Grade

School

Allergies or Special Notes

Student Name 6 (First and Last)

Birthday

Grade

School

Allergies or Special Notes

Additional Questions or Comments

AWANA Club Sign Up

Description

Please Fix the Following