AWANA Registration Form

Agape House of Worship, Roselle, NJ – 2020/2021 AWANA Club Registration Form( Virtual)

To register your children, kindly complete this form and drop at (or mail to) the Church address below with your registration fee of $25/child. The fee covers the books and vest for the whole year.

Make checks payable to RCCG Agape House.

"*" indicates required fields

First Name

Last Name

DOB

Vest Size

Grade

Allergies

Parent/Legal Guardian*

Parent's Email*

Address

City

State

Zip Code

Home Phone

Cell Phone

Church Membership

Yes

Church Name

Emergency Contact Name & Phone Number

Person Authorized to Pick up Child

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Jide Lawore Ministries

Women of Purpose

Jesus In Everything

AWANA Registration Form

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