Westchester Baptist Church
Sunday, December 17, 2017
Building Upon a Strong Foundation

Awana Registration Form

 
 
Name     
Birthdate 
 
Age Group:
 Age 3                     1st grade               4th grade
 Age 4                     2nd grade              5th grade                  
 Kindergarten          3rd grade               6th grade    
 
 Allergies or medical conditions we should be aware of:


Address 
City    St   Zip 
 
Parent(s)  
Phone 
 
Parent(s)
Phone 
 
Emergency contact if parents cannot be reached:
 Name  
Phone 
 
Brought by if other than parent:
          
  
Home church  
  

Do you give permission for photos/videos to be taken of your child for promotional use, on our website and/or our Awana Facebook page ?

 Yes  

 No

How would you like to receive information and updates from Awana?              (check one or both)

 Text     Cell Number     
 Email   Email Address