AWANA Registration 2025-2026

AWANA Registration 2025-2026
Parent Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Home church*
Medical insurance company*
Policy &/or Group #:
Emergency Contact(s) (Name, Cell Phone, relationship to kid(s))*
My Products
prevnext( X )
Dues
Yearly dues

$20.00 Quantity



Cubbies vest Medium
(3 & 4 year old by 9/1)

$12.00 Quantity



Cubbies vest Large (size 6)
$12.00 Quantity



Cubbies vest XL (size 8)
$12.00 Quantity



Cubbies vest (3 & 4 year old by 9/1)
XXL (size 10)

$12.00 Quantity



Cubbies Handbook
$10.00 Quantity



Cubbies Book Bag
$5.00 Quantity



Sparks Medium (size 8) vest
$12.00 Quantity



Sparks Large (size 10) vest
$12.00 Quantity



Sparks XL (size 12) vest
$12.00 Quantity



Sparks XXL (size 14) vest
$12.00 Quantity



1st Spark Handbook
$10.00 Quantity



2nd Spark Handbook
$10.00 Quantity



3rd Spark Handbook
$10.00 Quantity



Sparks Bag
$5.00 Quantity



T&T Youth Small shirt
Youth Large (14)

$15.00 Quantity



T&T Youth Medium shirt
$15.00 Quantity



T&T Youth Large shirt
$15.00 Quantity



T&T Adult Small shirt
Adult Small

$15.00 Quantity



T&T Adult Medium shirt
Adult Medium

$15.00 Quantity



T&T (3rd through 6th grade) shirt
Adult Large

$15.00 Quantity



T&T Adult XL
$15.00 Quantity



T&T Handbook
$10.00 Quantity



T&T Bag
$5.00 Quantity



Total

$0.00
Child(ren)*
Date*

MonthDayYear
Date
I, who by law may do so, authorize the administration of emergency medical treatment to he/she who is subject of this form. I understand all reasonable safety precautions will be taken at all times by Kentwood Heights Baptist Church or its agents. I will not hold Kentwood Heights Baptist Church liable for any accident, injury or disease incurred by the subject of this form. I understand in the event medical intervention is needed every attempt will be made to contact the person(s) above immediately. I will hold Kentwood Heights Baptist Church or its agents harmless due to imprudent behavior from my child. This form will be effective September 2025 to May 2026. I understand by signing this registration form I will pay a yearly fee per child to attend Kentwood Heights Baptist Church AWANA club, as well as the cost of a book and/or uniform. If you have any questions concerning this, please contact Nick Eason, Associate Pastor at 804-932-5370*
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