AWANA 22-23 Sign Up

Please fill out this form to get your child signed up and ready for Awana this school year.

West Lynchburg Baptist Church

Child's Name

Child's Birthdate

Child's Grade for school year 2022-23

Please select one option.

Toddler Preschool K 1st 2nd 3rd 4th 5th 6th 7th 8th

Which group will the child be in?

Please select all that apply.

Puggles (ages 2-3) Cubbies (ages 4-5) Sparks (K-2) T&T (3rd-5th) Trek (6-8th)

Parent/Guardian Name

Email

Phone

AWANA fee per child for the entire year

1 Childâž¡$15 3+ Child Discountâž¡$0

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form to get your child signed up and ready for Awana this school year.

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