Powell Butte Christian Church

13720 SW Highway 126

​Powell Butte, OR  97753

​(541) 548-3066


13720 SW Hwy 126, Powell Butte, OR  97753    (541) 548-3066 

Lord's Acre Day At Powell Butte Christian Church

ONLINE AWANA REGISTRATION

AWANA ONLINE REGISTRATION FORM

Please note that ALL fields with an asterisk MUST be filled out in order to submit this form. Especially important is the field labelled "Special Instructions/Allergies." If your child has NO special needs or allergies, please say "NONE" or "N/A." This form cannot be submitted until ALL fields with an asterisk are filled out. You will receive a confirmation message once submitted correctly.

SPECIAL INSTRUCTIONS/ALLERGIES

FOR ANY & ALL CHILDREN LISTED

(PLEASE INDICATE CHILD'S NAME WITH

INSTRUCTIONS.)

IF "NONE", PLEASE STATE "NONE" OR "N/A"

Copyright © Powell Butte Christian Church. All Rights Reserved

DrueryWebDesign.com

### 

CHILD(REN) INFORMATION:

PARENT/GUARDIAN

INFORMATION: