AWANA CLUB REGISTRATION

Awana Clubs & Trek56 Registration
Thank you for your interest in Heritage Church's Awana Clubs and Trek56 programs. We are excited about a great year partnering with your family in the discipleship of your children. Thank you for allowing us this opportunity!

*Please note that each child will need a seperate registration.
Child's Name *

First Name Last Name
Preferred Name
Does your child have a nickname they go by?
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birthdate *

Month Day Year
Age as of September 1, 2022 *
Based upon their age on September 1, 2022 my child will be apart of:
Allergies/Medical Needs *
Special Needs/Additional Concerns
Parent or Guardian Name *

First Name Last Name
Relationship to Child *
Phone Number *
Email
example@example.com
Heritage Church staff/volunteers have the right to photograph my child. *

Yes No
I give permission for my child's picture to be used in church presentations. *

Yes No
I give permission for my child's picture to be used on social media (Heritage Church Facebook and/or website). *

Yes No
How did you hear about Heritage Church's Awana Clubs and Trek56?
Should be Empty:

Awana Clubs & Trek56 Registration