Faith Baptist Awana
Begins September 7
th
6:30-8:00
Please register below
Child's Name
Gender
Male
Female
Birth Date
(mm/dd/yyyy)
School Grade
Select One
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parent/Guardian Name
Address
Phone Number
Additional Numbers
Medical/other information
we need to know
(Please include any food allergies.)
E-Mail Address
Who may pick up your child?
Where do you attend church?
(leave blank if none)
Previously enrolled in Awana?
Yes
No
If so, where?