Awana Clubs & Trek56 Registration Form 2024-2025

Awana Clubs & Trek56 Registration
Thank you for your interest in Heritage Church's Awana Clubs and Trek56 programs. We are excited about a great year partnering with your family in the discipleship of your children. Thank you for allowing us this opportunity!

*Please note that each child will need a seperate registration.
Child's Name*

First NameLast Name
Preferred Name
Does your child have a nickname they go by?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
My child will be apart of:*
Allergies/Medical Needs*
Special Needs/Additional Concerns
Parent or Guardian Name*

First NameLast Name
Relationship to Child*
Phone Number*
Email
example@example.com
Heritage Church staff/volunteers have the right to photograph my child.*

YesNo
I give permission for my child's picture to be used in church presentations.*

YesNo
I give permission for my child's picture to be used on social media (Heritage Church Facebook and/or website).*

YesNo
How did you hear about Heritage Church's Awana Clubs and Trek56?
Please verify that you are human*
Should be Empty: