Printed on 5/4/12

AWANA REGISTRATION


REGISTRATION FORM FOR GALILEE BAPTIST AWANA CLUBS

Please complete all applicable fields.

Household Name:
Street Address Line 1:
Street Address Line 2:
City:
State:
Zip Code:
Household Phone:
Household Email:
Home Church:

Primary Parent/Guardian #1 First Name, Last Name:
Primary Parent/Guardian #1 Cell Phone:
Primary Parent/Guardian #1 Relationship:

Secondary Parent/Guardian #2 First Name, Last Name:
Secondary Parent/Guardian #2 Cell Phone:
Secondary Parent/Guardian #2 Relationship:

Parent/Guardian #3 First Name, Last Name:
Parent/Guardian #3 Cell Phone:
Parent/Guardian #3 Relationship:

Student #1 First Name, Last Name:
Student #1 Grade:
Student #1 Gender:
Student #1 Birth Date MM/DD/YYYY:
-
Student #2 First Name, Last Name:
Student #2 Grade:
Student #2 Gender:
Student #2 Birth Date MM/DD/YYYY:

Student #3 First Name, Last Name:
Student #3 Grade:
Student #3 Gender:
Student #3 Birth Date MM/DD/YYYY:

Student #4 First Name, Last Name:
Student #4 Grade:
Student #4 Gender:
Student #4 Birth Date MM/DD/YYYY:

Student #5 First Name, Last Name:
Student #5 Grade:
Student #5 Gender:
Student #5 Birth Date MM/DD/YYYY:

Student #6 First Name, Last Name:
Student #6 Grade:
Student #6 Gender:
Student #6 Birth Date MM/DD/YYYY:

< Back to AWANA


Home Mid-Week Bible Studies Calendar Sermons Ministries Contact Us News You Can Use Location Staff

Galilee Baptist Church