It won’t be long until the start of Awana...first night is Wednesday, September 5th!!

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, 2012 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 Name
Address
City
Zip
Primary Contact Name
(If both parents have custody, include both names)
Primary Contact Phone
Primary Contact Cell #
Clubber Age
Clubber Grade in Fall
Clubber Birthday