Awana Sign-Up Form 2023-2024

Please fill out this form for each child that will be joining us for Awana this year.

Child's Name

*

Parent/Guardian's Name

*

Address

*

Phone Contact

*

Email Contact

*

This address will receive a confirmation email

Grade

*

Age

*

Birthdate

*

May also be picked up and dropped off by:

Is the above information your emergency contact? If no, please enter your preferred emergency contact below.

*

Please select all that apply.

Yes No

Emergency Contact Info (If different than above)

Preferred Contact Method

*

May we use photos with your children in them?

*

Please select one option.

Yes No

What Do You Need? (Check all that applies)

Cubbies (Age 3 - Pre-K)

Please select all that apply.

Cubbies Handbook ($12) Uniform Vest ($14) Cubbies Bag ($7)

Shirt Size

Sparks (Grades K - 2)

Please select all that apply.

Sparks Handbook ($12) Sparks Uniform Vest ($14) Sparks Bag ($7)

Shirt Size

Truth & Training (Grades 3-6)

Please select all that apply.

T&T Handbook ($12) T&T Uniform Shirt ($19) Sling Bag ($14)

Shirt Size

Yearly Registration

One Child - $30
Two Children (same family) - $55
Three Children (same family) - $75
Four or more Children (same family) - $90

Total Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form for each child that will be joining us for Awana this year.

Please Fix the Following

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