Awana Registration

Starting in September!

Kids ages 4 through grade 6 are invited to join
Wednesday 6:00- 8:30pm
September- April

REGISTRATION FORM

Please give complete information.

* Indicates required field

1- Student's Name *

First

Last

Date of birth mm/dd/yyyy *

Age *

grade *

2 -Student's Name *

First

Last

Date of Birth MM/DD/YYYY *

Age *

Grade *

3 -Student's Name *

First

Last

Date of Birth MM/DD/YYYY *

Age *

Grade *

Full Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

4- Student's Name *

First

Last

DATE OF BIRTH MM/DD/YYYY *

AGE *

GRADE *

Email Address *

Parent(s) Name *

Parent(s) Phone # (include area code) *

In Case of Emergency, who can we contact? (other than parent) *

Emergency Contact Phone # (include area code) *

Allergies or other Medical Conditions we should know about *

I give permission for Harmony Baptist Church to use pictures of my child on the church website or Facebook page for informational or promotional purposes. *

Yes No

Submit

Starting in September!

Kids ages 4 through grade 6 are invited to joinWednesday ​6:00- 8:30pmSeptember- April

REGISTRATION FORM

Glorifying God by sharing Christ to one another, our neighbors and the world

Kids ages 4 through grade 6 are invited to join
Wednesday 6:00- 8:30pm
September- April