AWANA Clubs Registration Form

CrossPointe Church Awana Clubs Registration

2026-2027 school year
Awana start date: September 13, 2026 - 4:00 pm to 5:30 pm

Drop-off starts at 3:50 pm

Club	Age Groups (grade child will be in the 26-27 school year)	Registration Fee (per child/year)
Sparks	Kindergarten – 2nd grade	$45.00
T&T	3rd grade – 5th grade	$45.00
Trek	6th grade – 8th grade	$45.00
Journey	9th grade – 12th grade	$45.00

Family maximum = $90.00 per year

Do to a limited amount of classrooms available and volunteer interest, we are not able to offer Puggles or Cubbies for the 2026-2027 school year. We apologize for any inconvience.

How many children would you like to register (grade K-12)?
*Quantity Registering for Puggles
*Quantity Registering for Cubbies
Number of Kids Registering for Sparks (K-2nd)
Number of Kids Registering for T&T (3rd-5th)
Number of Kids Registering for Trek (6th-8th)
Number of Kids Registering for Journey (9th-12th)
Amount for Puggles
Amount for Cubbies
Amount for Sparks
Amount for T&T
Amount for Trek
Amount for Journey
Total Registering
I would also like to purchase Awana bag(s) for my child/children. The additional cost of the bags will be added to the registration fee total reflected below.
How many bags would you like to order?
prevnext( X )
Sparks Bag
$12 Quantity



T&T Sling Bag
$18 Quantity



Trek Sling Bag
$18 Quantity



Journey Sling Bag
$18 Quantity



Total

$0.00
Amount for Bags
Total Registration Fee
The total cost for your family for Awana registration this school year is ${totalRegistration}. You selected to not purchase any bags.

The total cost for Awana this year is ${totalRegistration}.
The total cost for your family for Awana registration this school year is ${totalRegistration}.

Additionally, your request to purchase Awana bags totals ${amountFor173}.

The total cost for registration and the Awana bags is ${totalCost}.
Your total registration cost has exceed our family maximum amount, the total cost for your family for Awana registration this school year is $90. You selected to not purchase any bags.

The total cost for Awana this year is $90.
Your total registration cost has exceed our family maximum amount, the total cost for your family for Awana registration this school year is $90.

Additionally, your request to purchase Awana bags totals ${amountFor173}.

The total cost for registration and the Awana bags is ${totalCost}.
Total Cost for Registration Fee + Awana Bags
Parent/Guardian's Information
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Email
example@example.com
Second Parent/Guardian's Name

First NameLast Name
Second Parent/Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian's Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a church you attend regularly?
What church do you regularly attend?
One of our goals is for every child to be known by name. If you're able, please upload a recent photo of your child/children with each registraiton below. We'll use it to help our volunteers learn names before the first club meeting.
First Child
Child's Name

First NameLast Name
Gender
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Grade child will be in for the 2026-2027 School Year
Club
Allergies
Type N/A if not applicable.
Medical Conditions
Type N/A if not applicable.
Medications currently being taken by this child:
Type N/A if not applicable.
Child's Recent Photo
List any special concerns you may have about this child or any information that would be helpful for their leader to know:
Second Child
Child's Name

First NameLast Name
Gender
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Grade child will be in for the 2026-2027 School Year
Club
Allergies
Type N/A if not applicable.
Medical Conditions
Type N/A if not applicable.
Medications currently being taken by this child:
Type N/A if not applicable.
Child's Recent Photo
List any special concerns you may have about this child or any information that would be helpful for their leader to know:
Third Child
Child's Name

First NameLast Name
Gender
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Grade child will be in for the 2026-2027 School Year
Club
Allergies
Type N/A if not applicable.
Medical Conditions
Type N/A if not applicable.
Medications currently being taken by this child:
Type N/A if not applicable.
Child's Recent Photo
List any special concerns you may have about this child or any information that would be helpful for their leader to know:
Fourth Child
Child's Name

First NameLast Name
Gender
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Grade child will be in for the 2026-2027 School Year
Club
Allergies
Type N/A if not applicable.
Medical Conditions
Type N/A if not applicable.
Medications currently being taken by this child:
Type N/A if not applicable.
Child's Recent Photo
List any special concerns you may have about this child or any information that would be helpful for their leader to know:
Fifth Child
Child's Name

First NameLast Name
Gender
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Grade child will be in for the 2026-2027 School Year
Club
Allergies
Type N/A if not applicable.
Medical Conditions
Type N/A if not applicable.
Medications currently being taken by this child:
Type N/A if not applicable.
Child's Recent Photo
List any special concerns you may have about this child or any information that would be helpful for their leader to know:
Medical Consent
Terms and Conditions:
I understand that the child/children listed on this registration form may participate in physical activities such as those held during game time. As with any physical activity, there is risk of injury. I fully accept this risk and hold harmless from any legal liability, CrossPointe Church and any persons involved in the AWANA Club ministry.

In the event of an emergency that requires medical treatment for the
child/children, I understand every effort will be made to contact me or the emergency contact. If we cannot be reached, I am indicating below whether I give or do not give permission to the AWANA Club volunteers to secure the services of license physician to provide the care necessary for my child’s well-being. I assume
responsibility for all costs connected to any accident or treatment of my child.

In an emergent situation requiring immediate medical attention, you child may be
taken the nearest hospital emergency room. My selection below indicates my
decision to give or not give my permission for a responsible person from
CrossPointe Church to have my child transported to that hospital and receive
treatment.
Medical Consent
Photo Consent
As the parent/guardian of a child/children attending Awana at CrossPointe Church, I agree to the following:

I understand that my child/children whose name(s) are included on this electronic registration form may be photographed at CrossPointe Church or abroad as part of the CrossPointe Church Awana Program during normal Awana Club hours, field trips, or activities. I understand that these photographs may be used in promoting CrossPointe Awana Club ministry and/or outreach, either in print, digital, and/or online.

By signing below, I give permission for my child/children to be photographed, or their image recorded for print or electronic use in promoting our AWANA Club ministry. I understand that it is my responsibility to update this form in the event that I no longer wish to authorize the above uses. I agree that this form will remain in effect during the term of my child’s enrollment. I understand that there will be no payment for me or my child’s participation.
Parent/Guardian's Name

First NameLast Name
First Child

Child's First NameChild's Last Name
Photo Consent
Second Child

Child's First NameChild's Last Name
Consent
Third Child

Child's First NameChild's Last Name
Consent
Fourth Child

Child's First NameChild's Last Name
Consent
Fifth Child

Child's First NameChild's Last Name
Consent
Emergency Contacts
Emergency Contact 1

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Final Submission
Name of person who completed this registration form

First NameLast Name
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
CrossPointe Awana Email
example@example.com
Parents BAND App URL
Sparks BAND App Invite
Sparks BAND App URL
T&T BAND App URL
T&T BAND App Invite
Trek BAND App URL
Trek BAND App Invite
Journey BAND App URL
Journey BAND App Invite
Should be Empty:

CrossPointe Church Awana Clubs Registration

Awana start date: September 13, 2026 - 4:00 pm to 5:30 pm

How many bags would you like to order?

Parent/Guardian's Information

First Child

Second Child

Third Child

Fourth Child

Fifth Child

Medical Consent

Photo Consent

Emergency Contacts

Final Submission