Awana Registration Form

Awana Registration Form

Register your child for Awana, provide health/allergy info, authorized pick-up, and pay the registration fee.
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Awana Club Level
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Health Information and Allergies
Authorized Pick-Up Persons (List all individuals authorized to pick up your child)
Registration Fee - Fees are paid in person
prevnext( X )
Puggles Registration
Registration for Puggles (Ages 2-3)

$35.00



Cubbies Registration
Registration for Cubbies (Ages 3-5)

$35.00



Sparks Registration
Registration for Sparks (Grades K - 2)

$35.00



T&T Registration
Registration for T&T (Grades 3-6)

$40.00



Total

$0.00
Should be Empty: