If your children are planning on joining us for Awana, please take a moment to fill this form out to speed things up when you drop off your children. 

 

Thank you,

Cornerstone Kids Staff

 


Parent(s) Names:
Address:

City:

State:

Zip:

Phone Number:



Cell Phone(s):

Email:

Emergency Contact:

Emergency Phone #:

Children's Info:


First Name:

Last Name

Birthday
Special Needs/
Allergies:

Grade: