AWANA Registration

Fill out the form below and click "Send" to e-mail your registration to the church.

Parent or Guardian:

Phone:

Emergency Phone:

E-Mail:

Address:

City:

Zip:

Child's Name:

Age:

Grade:

Birthday:

Allergies:

IMPORTANT:

If you selected yes under allergies above, please advise us of any
allergies or medical conditions your children may have :

Please contact me as soon as possible regarding this matter.

Send mail to webmaster@bbcol.org with questions or comments about this web site.

Awana® and the Awana logo are trademarks of Awana Clubs International. Used by permission

Last modified: 02/06/06