AWANA

REGISTER BELOW

AWANA Registration Form (2026-2027)

* Indicates required field

Participant's Name: *

First

Last

Sex: *

Male Female

Date of Birth: *

Age: *

Participant's T-Shirt Size: *

Current Grade: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name 1: *

First

Last

Email 1: *

Phone Number 1: *

Parent/Guardian Name 2: *

First

Last

Email 2: *

Phone Number 2: *

Emergency Contact Name: *

First

Last

Emergency Contact Phone Number: *

Siblings Name(s) /Age(s): *

Allergies/ Medical Info: *

Church You Attend: *

How Would You Like To Be Contacted (if needed)? *

Call Text

Any Special Concerns or instructions: *

People (other than parent/guardian) who are authorized to pick up your child/children:

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

Name *

First

Last

Phone Number *

GROUPS

PUGGLES: 2-3 yr. olds. CUBBIES: 4-5 yr. olds SPARKS: K-2nd Grade
T&T: 3rd-5th Grade TREK: 6th-8th Grade JOURNEY: 9th-12th Grade

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