Awana Registration Form

Child Information

Child's Name

Child's Birthday

Mailing Address

Child's Age

Child's Current Grade

Child's Gender

Male Female

Please list any allergies/conditions/special needs. If none, put N/A.

Family Information

Parent/Guardian Name(s)

Home Phone

Cell Phone

Receive occasional text updates? Yes, please!

This address will receive a confirmation email

Do you have a church you belong to?

Yes, Sandston Baptist Yes, another church No

If another church, which one?

Permissions

People authorized to pick up my child:

Emergency Contact (other than parent):

Emergency Contact Phone

Photo release:
I give permission for my child to be photographed for promotional purposes. I understand that my child will not be identified in the pictures, and the pictures will not be used for profit.

Please indicate your agreement with the photo release stated above.

Description

To register your child, please fill out this form and click submit.
If you have more than one child to register, simply complete the form again :)

Awana Registration Form

Description

Please Fix the Following