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AWANA Registration 2019-2020
This first section is for the family information - each child will be registered in subsequent sections.
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* Indicates required question
Are you registering for the Stamford AWANA Club for the first time?
*
Yes, we are new!
No, we are returning
We have visited, but have never joined the club
Parent/Guardian Name (First, Last)
*
Your answer
Best Contact Phone Number
*
Your answer
Is this number Home or Cell?
*
Home
Cell
Parent/Guardian Email (if none, enter "none")
*
Your answer
Full Address (street, city, state, ZIP)
*
Your answer
Home Church
Your answer
Emergency Contact Name(s)
*
Your answer
Emergency Contact - Phone
*
Your answer
Emergency Contact - Relationship
*
Family Friend
Neighbor
Relative
Other:
Persons other than parents authorized to pick up the children
Your answer
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