2022-2023 AWANA Registration
Please fill out this form and click submit.
Child's Name
*
Address
*
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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
Phone
*
Email
*
This address will receive a confirmation email
Child's Date of Birth (Month, Date, and Year)
*
Mother/ Guardian
*
Father/ Guardian
*
What church do you attend? (or write NONE)
*
List any allergies, health or behavioral concerns we should be aware of:
*
Which club will your child attend?
*
Please select all that apply.
Cubbies (3 or 4 by Sept. 1st and potty-trained)
Sparks (Kindergarten through 2nd grade)
T&T (3rd through 6th grade)
Where does your child attend school and what grade?
*
What shirt size does your child wear?
*
Please select one option.
X-Small
Small
Medium
Large
X-Large
Do we have permission to use photos/ videos of your child (website, videos, etc...)
*
Please select all that apply.
Yes
No
Submit
Description
Please fill out this form and click submit.
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