AWANA REGISTRATION FORM

Child Information

One form must be completed for each child. After completion of the form, you will need to refresh the page to begin another.
Childs Name(Required)
Allergies, health conditions, physical limitations, custody concerns, etc.
If no other adults are authorized simply type N/A

Parent/Legal Guardian Information

Alternate Contact Information

Participation Consent(Required)
Medical Authorization(Required)
Media Consent(Required)
MM slash DD slash YYYY