AWANA REGISTRATION

August 24th | Please fill out this form and click submit. If not paying immediately you can choose cash and pay at the church kiosk or turn in money to Mrs. Allison.

Student Name

*

Student Birthdate

*

Student Grade

*

Please select one option.

Toddler/Pre-K K 1st 2nd 3rd 4th 5th

Student Shirt Size

*

Please select one option.

YXS YS YM YL YXL AS AM AL AXL

Parent Name

*

Address

*

Email

*

This address will receive a confirmation email

Phone

*

Club Fees

Online ($25.00) Cash (0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

August 24th

Please fill out this form and click submit. If not paying immediately you can choose cash and pay at the church kiosk or turn in money to Mrs. Allison.

Please Fix the Following

Close