EmailMe Form - Awana Waitlist - 2025-2026 Program

Today's Date *

MM / DD / YYYY

Parent/Gurdian's Name *

First Last

Phone *

### - ### - ####

Email *

Would you be willing to serve at Awana? *

More leaders means we can open more classrooms for more kids to participate in the program. As an Awana Leader, you are committing to serving on Wednesday nights for the duration of the program.

Child #1 Information

Child's Name *

First Last

Birthday *

MM / DD / YYYY

Gender *

Male

Female

Grade Level (for the 2025-2026 school year) *

Specific Grade *

Child #2 Information

Child's Name

First Last

Birthday

MM / DD / YYYY

Gender

Male

Female

Grade Level (for the 2025-2026 school year)

Specific Grade

Child #3 Information

Child's Name

First Last

Birthday

MM / DD / YYYY

Gender

Male

Female

Grade Level (for the 2025-2026 school year)

Specific Grade

Do you have any additional comments?