Online Registration

Please complete the following form to register for the AWANA Year
A confirmation will be emailed to you.

	Child's Name: Age: Date of Birth: mm/dd/yyyy Gender: Male Female Grade Level: 3 yrs old to Pre K K5 to 2nd Grade 3rd to 5th Grade 6th to 8th Grade Allergies/Health Conditions Parent / Guardian Names please don't use "&" sign Mailing Address: City: State: Zip: Home Phone: Email: seperate more than one email with a comma Work Phone: (Mom) Work Phone: (Dad) Cell Phone: (Mom) Cell Phone: (Dad) Emergency Contact: Phone: Relationship to child: Enter Security Code Here          Security Code is Case Sensative      Important: Preschool (3 and 4 year olds) must be toilet trained Nursery/Toddler care for workers only

Bayview Church
243 Sara Street Mongmong, Guam 96910
Office Hours: 9:00 AM to 5:00 PM Monday - Friday
Phone: (671) 472-8107/8
Fax: (671) 472-8109