Memorial Kids AWANA Registration 2023-24

Please fill out this form and click submit.

Please make sure that you have completed the Memorial Kids Participation Agreement for each child prior to registering for AWANA

Memorial Kids Participation Agreement

Caregiver Information

Caregiver Name

*

Primary Email

*

This address will receive a confirmation email

Secondary Email

Phone

*

How did you hear about our AWANA ministry

Please select one option.

Memorial Baptist Church Promo Memorial Kid Camps Facebook Friend

Child 1 Information

First Name

*

Last Name

*

Birthdate

*

Grade Entering

*

Please select one option.

Not in school yet K 1 2 3 4 5 6

Child 2 Information

First Name

Last Name

Birthdate

Grade Entering

Please select one option.

Not in school yet K 1 2 3 4 5 6

Child 3 Information

First Name

Last Name

Birthdate

Grade Entering

Please select one option.

Not in school yet K 1 2 3 4 5 6

Child 4 Information

First Name

Last Name

Birthdate

Grade Entering

Please select one option.

Not in school yet K 1 2 3 4 5 6

Description

Please fill out this form and click submit.

Please Fix the Following

Close