Awana Registration Form

Awana Registration Form

2024-2025
Cubbies Program: Ages 3 (by December 1) to 5 - [for Boys & Girls]

Sparks Program: Grades K (age 5 by Dec 1) to 2nd - [for Boys & Girls]

T & T Program: Grades 3rd-6th - [Girls Only]

T & T Program: Grades 7th - 12th - [Girls Only]

*If you are looking for a program for your son(s), 3rd grade and above, we have CSB (Christian Service Brigade) available.
Child's Name*

First NameLast Name
Select Program*
Child's Birthday*

MonthDayYear
Date
Child's Age*
Grade entering in the fall*
Does your child have allergies?*
If YES, Please list any/all allergies
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Type of Phone
Phone Number

Area CodePhone Number
Type of phone
Email #1*
example@example.com
Email #2
example@example.com
What Church do you Attend?*
Additional Comments
Should be Empty: