AWANA | Beech Park Church

AWANA Registration Form 2023-2024

Child First & Last Name

Birthday

School child attends

Parents/Gaurdian First & Last name

Parent/Guardian Phone #

I want to recieve text and phone calls with AWANA updates and schedules?

Street Address

City

Zip Code

Church you regularly attend

Persons (other than parents) authorized to pick up the above child:

Emergency contact other than parent listed above

List any allergies or special needs:

I give permission for photo,audio,video to be taken of my child during AWANA time.View terms of Release

I have read and understand the medical release form.View Medical Release Form

Your Signature

Date

Thanks for registering for our AWANA program.