AWANA REGISTRATION

Monument View Bible Church AWANA Registration

The MVBC AWANA program is offered to all children ages 3 (as of July 15) through 8th Grade.

Family Information

Name

First Name

Last Name

Church Attending

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Other adults authorized to pick up my child/children

Child #1 First Name

Child #1 Birth Date

YYYY

Age

Grade

M/F

Male

Female

Allergies

Child #2 First Name

Child #2 Birth Date

YYYY

Age

Grade

M/F

Allergies

Child #3 First Name

Child #3 Birth Date

YYYY

Age

Grade

M/F

Male

Female

Allergies

Child #4 First Name

Child #4 Birth Date

YYYY

Age

Grade

M/F

Male

Female

Allergies