2026-2027 Awana Student Registration

Ages: 2 year old thru 18 year old ( Needs to be 2y.o. by 8/19/2026)

1st Parent's first & last name

Phone

2nd Parent's first & last name

Phone

1st Parent's Email

2nd Parent's Email

Physical Home Address | State | Zip Code

1st student's name

D.O.B.

Grade going to in the fall school year?

Age of 1st student

Is this student allergic to anything?

No

Yes

If yes, what?

1st student | Any medical conditions that we need to be aware of:

2nd student's name

D.O.B.

Grade going to in the fall school year?

Age of 2nd student

Is this student allergic to anything?

No

Yes

If yes, what?

2nd student | Any medical conditions that we need to be aware of:

3rd student's name

D.O.B.

Grade going to in the fall school year?

Age of 3rd student

Is this student allergic to anything?

No

Yes

If yes, what?

3rd student | Any medical conditions that we need to be aware of:

4th student's name

D.O.B.

Grade going to in the fall school year?

Age of 4th student

Is this student allergic to anything?

No

Yes

If yes, what?

4th student | Any medical conditions that we need to be aware of:

5th student's name

D.O.B.

Grade going to in the fall school year?

Age of 5th student

Is this student allergic to anything?

No

Yes

If yes, what?

5th student | Any medical conditions that we need to be aware of:

Students are brought to Awana by who & what transportation?:

Individuals authorized to pick up your students

I grant permission for photos/videos of my child(ren) to be used on the church's social media, website and promotional materials.

YES

NO

Parent's Signature

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CLUB

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2026-2027 Awana Student Registration