2021/2022 Leader/Helper Registration

Sept-May Wednesday Nights 6:30-8:15 PM | AWANA Volunteer Registration Form

Location: Christ the Rock Community Church
4100 SW Old Clifton Rd.
Port Orchard, WA 98367

Name

*

Email

*

This address will receive a confirmation email

Birthdate

*

Gender

*

Please select one option.

Male Female

Phone

*

Club Currently Serving in:

*

Please select one option.

Puggle (2&3yr old) Cubbie (3&4yr olds) Sparks (K-2nd grade) T&T (3rd-6th Grade) Trek (7th & 8th Grade) Journey (9th-12th Grade) Game Directors Club Secretary Anywhere you need me

If you are new to AWANA please let us know where you would like to serve:

Emergency Contact Information: First & Last Name with Phone Number

*

Alternate Person to notify with Phone Number

*

Allergies:

Description

Sept-May Wednesday Nights 6:30-8:15 PM

AWANA Volunteer Registration Form

Location: Christ the Rock Community Church
4100 SW Old Clifton Rd.
Port Orchard, WA 98367

Please Fix the Following

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