MCC AWANA 2025-2026 Registration Form

Parent/Guardian #1 Name*

First NameLast Name
McKenna Community Church AWANA 2025-2026 Registration

PLEASE FILL OUT THE REGISTRATION FORM CAREFULLY
Parent/Guardian #2 Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*
Secondary Phone Number
Family Email*
Emergency Contact Name (if parent cannot be reached)*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Child #1 Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Club Group*

Cubbies 3-4 years oldSparks K-2nd gradeT & T 3rd-6th gradePuggles (for children of AWANA volunteers only)
Does your clubber need a handbook?*

My child is working on a handbook from last year and will not need a new oneMy child is ready for a new handbook
Child #1 Medical/Allergies/Helpful tips while working with your child
Child #2 Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Club Group

Cubbies 3-4 years oldSparks K-2nd gradeT & T 3rd-6th gradePuggles (for children of AWANA volunteers only)
Does your clubber need a handbook?

My child is working on a handbook from last year and will not need a new oneMy child is ready for a new handbook
Child #2 Medical/Allergies/Helpful tips while working with your child
Child #3 Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Club Group

Cubbies 3-4 years oldSparks K-2nd gradeT & T 3rd-6th gradePuggles (for children of AWANA volunteers only)
Does your clubber need a handbook?

My child is working on a handbook from last year and will not need a new oneMy child is ready for a new handbook
Child #3 Medical/Allergies/Helpful tips while working with your child
Child #4 Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Club Group

Cubbies 3-4 years oldSparks K-2nd gradeT & T 3rd-6th gradePuggles (for children of AWANA volunteers only)
Does your clubber need a handbook?

My child is working on a handbook from last year and will not need a new oneMy child is ready for a new handbook
Child #4 Medical/Allergies/Helpful tips while working with your child
Child #5 Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Club Group

Cubbies 3-4 years oldSparks K-2nd gradeT & T 3rd-6th gradePuggles (for children of AWANA volunteers only)
Does your clubber need a handbook?

My child is working on a handbook from last year and will not need a new oneMy child is ready for a new handbook
Child #5 Medical/Allergies/Helpful tips while working with your child
Photo Release: I give permission for my child's photo, which may be taken during AWANA, to appear on the church website or social media page, or to be used for display purposes.
Yes No*
If no, are there circumstances that the AWANA staff should be made aware of? Explain here
Payments: $50 per child - $100 max per family Please check one and bring to AWANA on the first night.*

Payment in Full3-month payment plan: September, October, and November
PARTICIPATION RELEASE: I, the parent/guardian of the child(ren) listed above, agree to allow my child(ren) to participate in this AWANA program and its activities at Mckenna Community Church.*

Clear
Date*

MonthDayYear
Date
Should be Empty:

McKenna Community Church AWANA 2025-2026 Registration