Awana 2020-21 Registration Form

Awana 2020 Registration Form
Child's Name *

First Name Last Name
Awana Club *

Cubbies - (Ages 3 - 5) Sparks - (Kindergarten - 2nd grade) T&T - (3rd grade - 6th grade) Trek - (7th grade - 8th grade) Journey - (9th grade - 12th grade)
This child: *

is new to Awana. was involved in Ridgeview's Awana last year. has been involved in Ridgeview's Awana in the past, but not last year. Has been involved with Awana in the past, but not at Ridgeview.
Parent Info
Mother's Name *

First Name Last Name
Mother's Email
example@example.com
Mother's Phone Number

Area Code Phone Number
Father's Name *

First Name Last Name
Father's Email
example@example.com
Father's Phone Number

Area Code Phone Number
Emergency Contact

Please give at least one additional contact ho may be contacted in an emergency. We will only release clubbers to be picked up by parents or emergency contacts.
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
Emergency Contact Name

First Name Last Name
Emergency Contact Phone Number

Area Code Phone Number
I understand that it is everyone's responsibility to keep us all safe. I will NOT send my child to Awana if:
- my child has symptoms consistent with COVID-19.
- my child has been in direct contact within the last 14 days with someone who has had a positive case of COVID19.
- my child has tested positive of COVID19 in the last 14 days.
- my child is awaiting the results of a COVID19 test that has been administered due to symptoms or suspicion of contracting COVID19.
Signature *

Clear
Should be Empty:

Awana 2020 Registration Form

Parent Info

Emergency Contact