AWANA Registration

Please complete and submit one form for each child being registered. Mahalo!

Child's Full Name

*

Child's Preferred Nickname

Parent # 1 Name

*

Parent # 2 Name

*

Parent's Email

*

This address will receive a confirmation email

Phone

*

Address

*

Child's Gender

*

Please select one option.

Male Female

Child's Birthday

*

Child's Shirt Size

*

Please select one option.

Youth Extra Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

Allergies

Authorize Pickup

*

Does your family attend church?

*

Please select one option.

Yes No

If "yes," where?

*

Has your child attended AWANA Clubs before?

*

Please select one option.

Yes, at MBC Yes, at another church No

Please select one of the available options:

*

Please select one option.

I give my permission for my child's image or likeness to be used on MBC social media and/or promotional material. I DO NOT give my permission for my child's image or likeness to be used on MBC social media and/or promotional material.

Description

Please complete and submit one form for each child being registered. Mahalo!

Please Fix the Following

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