Awana Registration 2011-2012

Awana is a Biblically-based program for children and youth, from age 2 to grade 8, that combines fun and excitement, while teaching the gospel of Jesus Christ and how to serve Him. Awana is rooted in the idea that children can have fun while learning God’s Word. Awana meets Wednesday evening between 5:55 until 7:30 – 8:00 (depending upon age/grade level).

Before signing up, please read the liability and release statement. You will consent to the terms of the statement below.

We're excited you'll be joining us!

Awana 443

Child's first and last name
Gender	M F
Grade (for the '11-12 school year)
Date of birth (MM/DD/YY)
Address
City
Zip
Parent Name
Parent Email
Parent Phone #
Alternate person to notify in emergency
Relationship of person to notify in emergency
Phone # for alternate person to notify
Allergies (incl. bee sting)/Special Info
One friend (same grade) request
I would like to help sponsor another child with my donation of	$20 No, thank you.
I have read, understand, and agree to the terms of the liability and release statement above.	I consent to these terms
Type full name for parent signature