AWANA 2024/25 Registration

AWANA Clubber Registration Form

Fill out the form carefully for registration
Clubber Name

First NameLast Name
Gender
Clubber Birthday

MonthDayYear
Date
Clubber Grade
Age Group

Cubbies (Ages 3-4)SPARKS (Grades K-2)T&T (Grades 3-6)
Family Information
Parent/Guardian Name

First NameLast Name
Parent Contact E-mail
example@example.com
Parent Contact Number

Area CodePhone Number
Club Accessories
Vest (Cubbies and SPARKS) - $15.00
Uniform (T&T) - $20.00
Handbook (Cubbies and Sparks) - $13.00
Handbook (T&T) - $13.00
Extra Credit Review Book (SPARKS) - $15.00

Yes (Hang Glider)Yes (Wing Runner)Yes (Sky Stormer)
Clubber Dues - $28.00 (per child)*

Clubbers Dues
Please Note: DUES for the entire year, per child (if paid by October 6th), are $28. There will be a $1.00/week late fee per child.
Total
Should be Empty:

AWANA Clubber Registration Form