Awana Clubs Family Registration

 

Father's Name
Father's Name
Father's Address
Father's Address
Father's Home Phone
Father's Home Phone
Father's Cell Phone
Father's Cell Phone
Is father permitted to take child from church? *
Mother's Name
Mother's Name
Mother's Address (if different than father's)
Mother's Address (if different than father's)
Mother's Home Phone (if different than father's)
Mother's Home Phone (if different than father's)
Mother's Cell Phone
Mother's Cell Phone
Is mother permitted to take child from church?
Emergency Contact #1
Emergency Contact #1
Contact #1 Phone
Contact #1 Phone
Is Contact #1 permitted to take child from the church?
Emergency Contact #2
Emergency Contact #2
Contact #2 Phone
Contact #2 Phone
Is Contact #2 permitted to take child from the church?
Child #1 *
Child #1
Child #1 Gender *
Child #1 Birthdate *
Child #1 Birthdate
Child #2
Child #2
Child #2 Gender
Child #2 Birthdate
Child #2 Birthdate
Child #3
Child #3
Child #3 Gender
Child #3 Birthdate
Child #3 Birthdate
Child #4
Child #4
Child #4 Gender
Child #4 Birthdate
Child #4 Birthdate