AWANA Registration Form 2026-2027

Beginning Wednesday, 8/19/25 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 $30 per family.

Please fill out this form and click submit.

Child's Name

*

Parent/Guardian

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Address

*

Child's Birth Date

*

Child's 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 you are not a member of our church, how did you hear about our AWANA program??

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

$30 per family. ($30) 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

Description

Beginning Wednesday, 8/19/25 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 $30 per family.

Please fill out this form and click submit.

Please Fix the Following

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