Awana Club Sign Up




Club Registering for: Select One
Grade
First Name
Last Name
Gender
Birthday (m/d/y)
Age
Uniform Size
Address
City
State
Postal Code
Email Address
Home Phone
Mom's Cell
Dad's Cell
Parent's/Guardian's Name
Date Signed (m/d/y)
Signature - typing your name here signifies authorization.
Siblings in Family (with Age)
Allergies, Medical Condition, Disabilities

Emergency Contact Name & Phone
Friend you want to be with
Invited By
Church you regularly attend
I grant permission to use my child''s photo in internal church and AWANA slide shows and videos
Registration $20.00 ($50.00 family max), Handbooks $10.00, Awana Bag $6.00, Uniforms $11.00

For Online Payment Click Here - Don't forget to also click submit on this form


Are Required Fields