Faith Baptist Awana
Begins September 7th
6:30-8:00

Please register below


Child's Name
GenderMale    Female
Birth Date    (mm/dd/yyyy)
School Grade
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?