Awana Registration Form 2007 Club Year Quick Links

AWANA 2007 begins September 5th.

The AWANA registration form must be completed and returned by the second visit to AWANA. Please call 770-475-6556 for information regarding dues.
Online Registration (*All fields marked with * are required)

<Click here to register as an Adult Leader>

*Child's Name (First/Last):
*Age:
*Date of Birth (mm/dd/yyyy):
*Grade 2007-2008:
Book Completed:  
*Contact Phone  
(123-456-7890):		 (Preferably Cell)
*Home Address:
*City:
*State:
*Zip Code:
Church Membership:
*Parent(s) Contact Email:
*Father's Name (First/Last):
*Mother's Name (First/Last):
*Medical Issues
(If there are none, please enter 'none'):
*Dr's Name:
*Dr. Phone Number:
  To volunteer as an Adult Leader for AWANA please complete the volunteer registration form for Adult Leader by clicking here, or use the link at the top of this page.
Authorization for Medical Treatment - REQUIRED!
By submitting this form you agree to the following medical consent:
In the event that you cannot be reached, by giving this information about my child, I give permission for my child to be transported to North Fulton Hospital and authorize the hospital to provide emergency medical and surgical treatment. I will assume full responsibility for all charges related to the above, and release the serving hospital, First Baptist Alpharetta, and its agents, employees, administrators and assigns from any and all liability claims and causes of action arising in connection with the transportation and/or treatment of the child named with this information.
 
Please enter all information below exactly as it appears on your credit card. The amount you enter below will be charged to your account within 24 hours. This form is a secure form and all information sent via this form is encrypted for your protection using Transport Layer Security.
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Amount:
*Credit Card Type:
*Credit Card Number:
*Security Number (3 digit number on the back of card):
*Expiration Date (MMYY or MM/YY):
 

For more information please call (770) 475-6556.

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First Alpharetta... A Place to Belong
44 Academy Street | Alpharetta, GA 30004 | Phone: 770.475.6556
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