Awana Registration - Fall 2008

Online Registration

Parent's Name:  

Child's Name:  

Male:    Female:     Child's Birthdate:                                          

Grade:             

Uniform Size (specify even sizes 4 - XL):

We do not need a uniform this year:

Address:              

City:                    Zip:             

Email Address:  

Home Phone:             

Cell Phone: 
 

For your child's protection please fill out the following completely:

Allergies/Medical Info:
 

Please check all that apply:

  Member of LBC   Attend another church  

  Looking for a church home