Clone of Awana Registration Form 2025-2026

Awana 2026-2027 Registration Form

*PLEASE REGISTER EACH CHILD INDIVIDUALLY
* Registration will be closed on September 2nd

The first night of Awana will be on September 9 in Person! The doors each week will open at 6:30pm and club will begin at 6:45pm. We ask that new families come early so they have a chance to get checked in and settled before club starts.
Parent's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number

Area CodePhone Number
Home Phone Number

Area CodePhone Number
E-mail
Current Church Affiliation

Alternative Contact Information

Please make sure contact information is different than parent information above. This will also be the secondary emergency contact.
Alternative Contact Name

First NameLast Name
Alternative Contact Phone Number

Area CodePhone Number
Doctor's Name

First NameLast Name
Doctor's Number

Area CodePhone Number
Insurance Company

Child's Information
Child's Name

First NameLast Name
Allergies
Medications
Are there any medications your child will be bringing to club each week?
Child's Age as of Sept. 1st
Child's Birthday

MonthDayYear
Date
Child's Gender
Child's Grade in Fall
Which Club will your child be participating in?
Signature

Awana 2026-2027 Registration Form