Cubbies Registration

2017-18

3 and 4 year olds

Child's Name: *
First Name
Middle
Last Name
Parent/Guardian's Name: *
First Name
Middle
Last Name
Parent/Guardian's Name 2:
First Name
Middle
Last Name
Child's Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Most Used Phone Number:*
Alternate Phone Number:
Parent/Guardian's Location During Club Times:*
Child's Birthdate:*
Grade: *
School:
Church Attending, if Any:
Siblings Attending Awana, if Any:
Comments (allergies, special needs, etc.):
Other Adults Authorized for Child Pick-up:
Email:
We would like the ability to send you reminders of special Awana events and to notify you of important dates so that your child never misses any of the fun and excitement. We will not release this information outside of our Awana leadership and your address will not appear to others receiving the notifications. We are doing this as a simple service to keep you fully informed.