AWANA Registration 2022-2023

Registration Form: *
CHILD'S NAME(El Nombre de nino(a))
DATE OF BIRTH (Fecha de Nacimiento)

Month Day Year
AGE AS OF SEPT.1 (edad del niño(a) del 1 de Septiembre)
GRADE (Grado)
T SHIRT SIZE (El tamano de camisa)
PARENT'S/GUARDIAN'S NAMES (El Nombre de Padre O Guardian)
RELATIONSHIP (Relacion)
NAME(S) OF SIBLING(S) AND AGE(S)/GRADE(S), IF ANY (Los nombres de Hermanos(as)y Edades/Grados, Si Aplica)
CHILD'S STREET ADDRESS (La direccion del Nino(s))
CITY/STATE/ZIP CODE (Cuidad/Estado/Codigo postal)
CHILD'S HOME PHONE NUMBER del
PARENT / GUARDIAN CELL PHONE NUMBER (El Numero del Telefono celular del Padre O Guardian)
PARENT/GUARDIAN E-MAIL ADDRESS (Correo electronico del Padre O Guardian)
INDIVIDUALS AUTHORIZED TO PICK UP YOUR CHILD FROM AWANA (Condiciones Medicas del Nino(a) o Necesidades Especiales
EMERGENCY CONTACT PERSON AND PHONE NUMBER (La persona para Contactar en Emergencia y el Numero de telefono)
MEDICAL CONDITIONS OF THE CHILD or SPECIAL NEEDS (Condiciones Medicas del Nino(a) O Necesidades Especiales)
FOOD ALLERGIES (Alergias al Alimento)
1. Is your child a member of a church? YES or NO ¿Es su niño(a) un miembro de una iglesia? SI o NO
If “YES”, which one? ¿Si "SI", cuál?
2. Has your child been baptized as a Christian? YES or NO or I DON ¿Ha sido bautizado su niño(a) después de que llegue a ser un cristiano? SI o NO o Yo no SE
3. Has your child previously been in AWANA? YES or NO ¿Ha estado anteriormente su niño(a) en AWANA? SI o NO
4. Does your child already own the appropriate uniform for their level in AWANA? YES or NO ¿Su niño(a) tiene el uniforme aprobiado para AWANA? SI o NO
5. May we have permission to photograph / video your child for use in church publications / activities? YES or NO ¿Nos da permiso para fotografiar/graba a su niño(a) para el uso en publicaciones/actividades de la iglesia? SI o No
6. May we have permission to contact your child by mail, phone call or home visit in order to visit with them about AWANA or other church activities? YES or NO ¿Nos da permiso de contactar a su niño(a) por correo, llamada telefónica y visitar con ellos acerca de AWANA u otras actividades de la iglesia? SI o NO
PARENT / GUARDIAN SIGNATURE:
PARENT / GUARDIAN SIGNATURE: (La firma de Padre O Guardian)

Clear
DATE (fecha):

Month Day Year
ORDER INFORMATION

Parents, please fill out this form when you register.
UNIFORM:
BOOK ORDER:
REGISTRATION OPTIONS:

Regular Registration Payment: $35 Discounted (no new shirt needed right now): $20
PAYMENT OPTION:
DATE OF FIRST PAYMENT:

Month Day Year
Date
PAYMENT AMOUNT:
PAYMENT TYPE:
NOTES:
Thank you for registering for Awana!

When you click "SUBMIT", you will automatically be taken to our online payment screen. If you are not paying online, just close out the payment screen and pay by your preferred method.
Should be Empty:

PARENT / GUARDIAN SIGNATURE:

ORDER INFORMATION