VBS Registration

Online Registration for Awana




We are glad to see you are interested in Awana!  If you are new to Bethany Baptist's Awana clubs, please fill out the registration below.  If you  registered for VBS 2011 and all other info is the same, just put parents name, children's names, and then put VBS 2011 on the Address line.

Parent's Name:

Parent's Email:

Address:

City:

State:

Zip:

Phone Number (xxx)xxx-xxxx:

Emergency Phone Number (xxx)xxx-xxxx:

First Child's Name:

First Child's Birth Date:

First Child's Last School Grade:

First Child's Special Medical Info:

Second Child's Name:

Second Child's Birth Date:

Second Child's Last School Grade:

Second Child's Special Medical Info:

Third Child's Name:

Third Child's Birth Date:

Third Child's Last School Grade:

Third Child's Special Medical Info:

Fourth Child's Name:

Fourth Child's Birth Date:

Fourth Child's Last School Grade:

Fourth Child's Special Medical Info: