AWANA Registration Form

Wednesday's @ 6:00PM | AWANA is now full but if you would like your child to participate, please complete this interest form to be added to the waiting list and Kyla will contact you if a spot opens up. PLEASE NOTE: Registration is not complete until payment has been completed and you have received a confirmation email from Kyla.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Child #1 - Name

*

Child #1 - Age

*

Please select one option.

Cubbies - ages 3 to 5 Sparks - K to 2 T&T - Gr. 3 to 5

Child #2 - Name

Child #2 - Age

Please select one option.

Cubbies - ages 3 to 5 Sparks - K to 2 T&T - Gr. 3 to 5

Child #3 - Name

Child #3 - Age

Please select one option.

Cubbies - ages 3 to 5 Sparks - K to 2 T&T - Gr. 3 to 5

Child #4 - Name

Child #4 - Age

Please select one option.

Cubbies - ages 3 to 5 Sparks - K to 2 T&T - Gr. 3 to 5

Do you attend church regularly?

*

Please select one option.

Yes No

If yes, where do you attend?

Date

*

Description

Wednesday's @ 6:00PM

AWANA is now full but if you would like your child to participate, please complete this interest form to be added to the waiting list and Kyla will contact you if a spot opens up. PLEASE NOTE: Registration is not complete until payment has been completed and you have received a confirmation email from Kyla.

Please Fix the Following

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