2017/2018 AWANA Registration

Please fill out this form and click submit.

Tell us about your child

Name

*

Birthdate

*

Child's Grade in 2017/2018 School Year

*

Child's Shirt Size

*

Please select one option.

Youth Extra Small Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large

Medical Conditions/Allergies

Hobbies/Activities

Other Helpful Information

Parental Information

Parent/Guardian Name(s)

*

Phone

*

Emergency Contact - Name and Number

*

Address

*

Email

*

This address will receive a confirmation email

Home Church

Individuals Authorized To Pick Up Child From Club

*

Consent

I hereby grant Fellowship Baptist Church to use my child's picture on their website/social media for informational or promotional purposes.

*

Please select one option.

Accept Decline

By signing my name, I hereby grant my child to attend Fellowship Baptist Church's AWANA program understanding he/she will hear lessons from the Bible and will participate in activities.

*

Description

Please fill out this form and click submit.

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