It won’t be long until the start of Awana...first night is Wednesday, September 4th!!

In an effort to help make the first night run a little more smoothly, we want to pre-register as many clubbers and students (Pre-School-Must be 3 by Sept. 1, 2013 through 12th grade) as soon as possible.   Please fill out this form online and press the Submit Button to send the form. Thanks for your assistance!

WE LOOK FORWARD TO SEEING YOUR CHILD AT AWANA!!!!

Please provide the following contact information:
Clubber #1 Name 
Clubber #1 Birthdate        Clubber #1 Age       Clubber #1 Gender       Clubber #1 Grade (in Fall)
Parent/Guardian Name
Street Address
City
Zip
Home Phone
 Cellphone #
 
Clubber #2 Name 
Clubber #2 Birthdate        Clubber #2 Gender         Clubber #2 Age        Clubber #2 Grade (in Fall)
Clubber #3 Name
Clubber #3 Birthdate       Clubber #3 Gender         Clubber #3 Age        Clubber #3 Grade (in Fall)
 
Clubber #4 Name
Clubber #4 Birthdate      Clubber #4 Gender          Clubber #4 Age        Clubber #4 Grade (in Fall)
 
Clubber #5 Name
Clubber #5 Birthdate      Clubber #5 Gender          Clubber #5 Age        Clubber #5 Grade (in Fall)