Highland Crest Baptist Church - AWANA Registration

Register your child for awana

Parent(s) Name

Child Name (one name per registration)

Email

Phone Number

Address 1

Address 2

City

State

Zip/Postal Code

Child Date of Birth (DD/MM/YY)

Grade

Allergies / Medical concerns (please specify)

Do you attend church?
Yes
No

Do you attend Highland Crest
Yes
No

Name of church?

Emergency Contact #1 (not parent or guardian)

Cell Phone #

Emergency Contact #2 (not parent or guardian)

Cell phone #