Clone of Awana Registration Form

Redemption Hill Church

Awana Registration Form for kids 3 years through 6th grade.
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Gender
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously or needs a new size or color.
Do you have an additional child to register?
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Gender
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Do you have an additional child to register?
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Gender
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Do you have an additional child to register?
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Gender
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Parent's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Parent Mobile Number
Format: (000) 000-0000.
Special Instructions or Allergies for Child:
Who is authorized to pickup your child from Awana? Please specify name and relationship to the child.
In case of an emergency (in addition to the parent listed above) who should we contact? Please indicate name, relationship, and phone number.
Photo Release: I give permission for my child's photo, which may be taken during Awana, to be used on the Redemption Hill Facebook page and/or website.
I understand that my child will be involved and participating in the games and activities of the Awana program at Redemption Hill Church. I will not hold Redemption Hill Church responsible for the injuries that may occur during Redemption Hill Church Awana program.
Should be Empty:

Redemption Hill Church