Awana Registration Student Name: *FirstLastBirthdate: *01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2022202120202019201820172016201520142013201220112010daymonthyearGrade: *SelectPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeSpecial Instructions:note any food allergies or other pertinent informationParents/Guardians: *Phone: *-Area CodePhone NumberAlternate Phone:-Area CodePhone NumberE-mail: *Address: *City/State/Zip: *Child may also be picked up by:If you have more children to register, please scroll down and continue rather than hitting "submit" now.type_submit_reset_14SubmitResetStudent 2 Name:FirstLastStudent 2 Birthdate:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2022202120202019201820172016201520142013201220112010daymonthyearStudent 2 Grade:SelectPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeStudent 2 Instructions:Student 3 Name:FirstLastStudent 3 Birthdate:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2022202120202019201820172016201520142013201220112010daymonthyearStudent 3 Grade:SelectPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeStudent 3 Instructions:Student 4 Name:FirstLastStudent 4 Birthdate:01020304050607080910111213141516171819202122232425262728293031 / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2022202120202019201820172016201520142013201220112010daymonthyearStudent 4 Grade:SelectPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeStudent 4 Instructions:type_submit_reset_49SubmitReset