AWANA Registration 2024-2025
Beginning Wednesdays, 8/14/24 6:00 - 7:30pm | Every Wednesday Night 6pm - 7:30pm
Puggles: Babies - 2yr olds, Cubbies: 3 & 4yr olds, Sparks: K-2nd Grade, T&T: 3rd-5th Grade
Registration cost is $20 per family.
Please fill out this form and click submit.
Name
*
Parent/Guardian
*
Email
*
This address will receive a confirmation email
Cell Phone
*
Address
*
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Birth Date
*
Gender
*
Please select one option.
Male
Female
Grade
*
Please select one option.
Babies - 2yrs
3 & 4yr olds
Kindergarten
1st
2nd
3rd
4th
5th
Allergies, Medical & Special Needs
*
Emergency Contact & Cell Phone
*
Authorized Pickup
*
Are you a member of this church?
*
Please select all that apply.
Yes
No
If no, are you a guest of someone?
Do you attend church anywhere?
*
Please select one option.
Yes
No
Is yes, where?
May we have permission to photograph your child?
*
Please select all that apply.
Yes
No
T-shirt Size
Registration Fee
$20 per family. ($20)
I've already paid for another one of my students. ($0)
$20 per family. ($20)
I've already paid for another one of my students. ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Beginning Wednesdays, 8/14/24 6:00 - 7:30pm
Every Wednesday Night 6pm - 7:30pm
Puggles: Babies - 2yr olds, Cubbies: 3 & 4yr olds, Sparks: K-2nd Grade, T&T: 3rd-5th Grade
Registration cost is $20 per family.
Please fill out this form and click submit.
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