Anderson Mill Baptist Church - Awana Registration

Anderson Mill Baptist Church

Child Information

First Name

Last Name

Birthdate

Grade

Club

Cubbies Vest Size Needed

Sparks Vest Size Needed

T&T Uniform Size Needed

Allergies

Family Information

Parent #1

First Name

Last Name

Phone Number

Email

Parent #2

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

In case of an emergency, and I cannot be reached, please contact:

First Name

Last Name

Phone Number

Are you currently a member of any church

If yes, where?