Please register your child (children) using the form below. Additional information will be gathered from you the first night that you attend the Club. AWANA meets Wednesdays from 6:30 pm-8:00 pm. Parents are welcome to stay and observe the club.

Child's Name (required)

Child's Age (required)

Child's Grade (required)

Parent's Names (required)

Your Email

Phone Number (required)

Secondary Phone Number

Home address

Allergies (if any, identify for which child this applies)

Any additional children's names, age, grade, allergies
you would like to register