Awana Registration

Awana Registration

2025-2026
Family Info
Parent Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Church

Southside BaptistWe do not attend church regularlyOther (listed below)
We attend
Name of your Church

Child 1
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Cubbies (3k-4k), Sparks (5k-2nd Grade), T&T (3rd-6th Grade)
School
Favorite activities, hobbies, interests.
Special Attention (dietary, allergies, emotional, spiritual, etc.)

Child 2

(if needed, or click "Next" at the bottom)
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Cubbies (3k-4k), Sparks (5k-2nd Grade), T&T (3rd-6th Grade)
School
Favorite activities, hobbies, interests.
Special Attention (dietary, allergies, emotional, spiritual, etc.)

Child 3

(if needed, or click "Next" at the bottom)
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Cubbies (3k-4k), Sparks (5k-2nd Grade), T&T (3rd-6th Grade)
School
Favorite activities, hobbies, interests.
Special Attention (dietary, allergies, emotional, spiritual, etc.)

Child 4

(if needed, then click "Submit" at the bottom)
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade
Cubbies (3k-4k), Sparks (5k-2nd Grade), T&T (3rd-6th Grade)
School
Favorite activities, hobbies, interests.
Special Attention (dietary, allergies, emotional, spiritual, etc.)
Should be Empty: