ABOUT CALENDAR SERMONS GIVE CONTACT US

AWANA REGISTRATION FORM

PARENT OR GUARDIAN CONTACT INFORMATION

Your Email*


Parent or Guardian #1 First Name*


Parent or Guardian #1 Last Name*


Parent or Guardian #1 Phone #*


Parent or Guardian #2 First Name


Parent or Guardian #2 Last Name


Parent or Guardian #2 Phone #


Additional name(s) of individual(s) allowed to pick-up your child at the end of the night



ADDRESS

Street


City


State


Zip Code



CHILD INFORMATION

Child First Name*


Child Last Name*


Child's Age as of June 1st


Allergies or Medical Concerns



Do you have a Church Home?


Woodland Baptist Church

809 N. Pope Lick Rd.
Louisville, KY 40243

(502) 245-5416
info@woodlandbaptist.net

© 2018 Woodland Baptist Church