Family Registration FormAWANA 2026-2027
Begins September 13th, 2026
Cubbies 3-5yrs
Sparks K-2nd
T&T 3-6th
TREK 7&8th
Journey 9-12th
$75/per
Child
Children Attending Awana
Rows
Child's Name
Male/Female
DOB
Grade fall of 2026
Club Placement
1
2
3
4
5
6
Parents/Guardian Name
First Name
Last Name
Relationship to child
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone:
Format: (000) 000-0000.
Email Address
example@example.com
Emergency contact (Someone other than parents):
Phone
Format: (000) 000-0000.
Relationship:
State Pertinent Medical Information
Physician
Phone ( )
Format: (000) 000-0000.
Family Health Insurance
Subscriber's Name
Policy #
Insurance Mailing Address
Does child regularly attend church?
No
Yes
Where?
New to AWANA?
No
Yes
In case of illness or injury, Calvary Bible Church has my permission to procure medical treatment for the above named minor. I understand that Calvary Bible Church does not provide medical insurance or reimbursement for medical fees or prescriptions and that I am responsible for any and all fees and charges arising from illness or injury that may occur to the above named minor during this activity with Calvary Bible Church.
Your signature below grants Calvary Bible Church Awana Club permission to publish photos of your child in our video presentations, brochures, bulletin boards, etc. Limited scholarships available, ask the secretary about them.
Signature of Parent/Guardian
Date
-
Month
-
Day
Year
Date
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