2017- 2018 Awana Registration
Boy or Girl?
Youth Extra Small
Parent / Guardian Name
Address (street address, city, state, and zip code)
Mailing Address (if different)
Home Phone Number
Work Phone Number
Cell Phone Number
Birth Date (mm/dd/yyyy)
Medical or other information we need to know about. (Please include any food allergies.)
Emergency Contacts (Other than listed above)
Phone Number 1:
Phone Number 2:
After double checking your information, please hit "Send"
Please fill out the fields marked with an asterisk.
P.O. Box 164 12881 Andersonville Road Davisburg MI 48350 Church office: (248) 634-9225
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