2025/26 Awana Registration Form

FBC's Awana Clubs Registration Form

2025 - 2026
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Age as of Sept. 1*
Grade*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #1*

First NameLast Name
Relationship*
example: father, mother, grandfather, grandmother, etc.
Mobile Number*

Area CodePhone Number
Email*
example@example.com
Parent/Guardian #2

First NameLast Name
Relationship
example: father, mother, grandfather, grandmother, etc.
Mobile Number

Area CodePhone Number
Email
example@example.com
Additional Information, such as: Special Needs, Allergies, Emergency Contact, Authorized to Pick Up, etc.
May we have permission to photograph/video your child for use in FBC's publications & social media?*

YESNO
Thank you for registering for Awana!

The cost for the year is only $10.

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:

FBC's Awana Clubs Registration Form