Sparks Registration

2011-2012

Kindergarten through 2nd Grade

Child's Name:*
Parent/Guardian's Name:*
Parent/Guardian's Name (2):
Child's Address: *
Address Line 1
Address Line 2
City
State
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:
Other 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.