*Your Name*
*Address*
*Main Phone*
*Email*
Membership # (If Applicable)
Please select the class you would like to attend:
Will your children be attending the Youth Series?
 YES  
  NO 

If so, please complete this section to register your youth for bible study as well.

Which class(es) will they be attending?
 AWANA: "Sparks Club" Grades K - 2  
 AWANA: "Truth-N-Training Club"¯ Grades 3 - 5 
 “Journey” - Grades 6-12 
Child's Full Name
Grade
 MALE  
  FEMALE 
Child's Full Name
Grade
 MALE  
  FEMALE 
Will you need childcare(ages 12 months thru Pre-K)
 YES  
  NO 

If so, please complete this section to register for childcare.

Child's Full Name
Age
Child's Full Name
Age
Comments: