AWANA Registration 2024-2025

August 14, 2024 - Spring 2025 | AWANA Registration Form

Clubber Name

Clubber Birthdate

Current Age

Please select one option.

1 2 3 4 5 6 7 8 9 10 11 12

Grade Entering

Please select one option.

PreK Kindergarten 1st 2nd 3rd 4th 5th 6th

Parent/Guardian Name(s)

Address

Phone # during Club Time

Alternate Phone #

Email address

This address will receive a confirmation email

Clubber's Hobbies/Activities

Clubber's Siblings (Names, age)

Where do you regularly attend church? What city is your church in?

Who invited you to AWANA club?

Authorized to pick up clubber

Individuals authorized to pick up clubber from AWANA

May we use your child’s picture in the newspaper or on the church website?

Please select one option.

Yes No

Please list any physical limitations, allergies, or medication we should know about

Occasionally, we would like to contact you and/or your child to see how they are enjoying Awana and if they need help in completing handbooks. We would also like to send written correspondence such as “Get Well” cards and a “Birthday” card. We are asking for your permission as the legal parent/guardian to contact your child by a home visit, written communication, or phone call to discuss AWANA activities.

Please select one option.

Sure, but let us know first No, please don't come by

Electronic Signature*

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Today's Date

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August 14, 2024 - Spring 2025

AWANA Registration Form

AWANA Registration 2024-2025

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