Awana Registration 2023-2024

Please fill out this form and click submit.

AWANA club meets Wednesdays 6:30-8:00PM beginning September 27 through May 8.

Child's Name

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Child's Age

*

Grade

*

Please select one option.

Pre-k Kindergarten First Second Third Forth Fifth

Allergies, Medical Concerns, Special Needs

Parent/Guardian Name

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

By clicking the box below, I, the parent / guardian of the above named child, give permission for them to participate in Awana activities at Northgate Church.

*

Please select all that apply.

I Agree

Permission to Photograph-I give permission for my child to be photographed and videotaped, and for these images to be used during the Awana program and for future promotional material.

*

Please select all that apply.

I Agree

Description

Please fill out this form and click submit.

Please Fix the Following

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