B3 Church AWANA 2024-2025 Registration
Please register your child for AWANA!
Child's Information
Name
*
Birthday
*
Grade as of August 2024
*
Please select one option.
Pre-school
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Pre-school
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Contact Information
Contact Phone #1
*
Contact Phone #2
Parent/ Guardian Email
*
This address will receive a confirmation email
Emergency Contact Name
*
Emergency Contact Phone Number
*
General Information
Anything special we should be aware of? Reading level, allergies, medical, etc.?
Photo/ Video Permission
Please select all that apply.
Yes
No
Submit
Description
Please register your child for AWANA!
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