Awana Registration Form

Redemption Hill Church

Awana Registration Form for kids 3 years through 6th grade.
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Gender*
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Do you have an additional child to register?

YesNo
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Gender*
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Do you have an additional child to register?

YesNo
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Gender*
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Do you have an additional child to register?

YesNo
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Gender*
Current Grade in School
T-shirt Size
*Only select if child did not receive an Awana shirt previously
Parent's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail*
example@example.com
Parent Mobile Number*
Special Instructions or Allergies for Child:
Who is authorized to pickup your child from Awana? Please specify name and relationship to the child.*
In case of an emergency (in addition to the parent listed above) who should we contact? Please indicate name, relationship, and phone number.*
Photo Release: I give permission for my child's photo, which may be taken during Awana, to be used on the Redemption Hill Facebook page and/or website.
I understand that my child will be involved and participating in the games and activities of the Awana program at Redemption Hill Church. I will not hold Redemption Hill Church responsible for the injuries that may occur during Redemption Hill Church Awana program.

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Redemption Hill Church