2025–2026 AWANA Registration

Child's First Name

Child's Birthdate

Child's Grade

Street Address

City

Zip Code

Parents Name(s)

Parent Cell Number(s)

Parent 1 email address

This address will receive a confirmation email

Parent 2 email address

Names of other adults who can pick up your child

Special Needs or Allergies

Emergency Contact Name(s)

Emergency Contact Phone Number(s)

Description

2025-2026 AWANA Registration
Calvary Baptist Church
Cedar Rapids, IA
Contact Jeremy Crittenden at (319) 929-8460 or jeremylcrittenden@gmail.com or Jen Crittenden at (319) 721-2460 or jencrittenden74@gmail.com if you have questions.

2025–2026 AWANA Registration

Description

Please Fix the Following