Register for Awana

Awana Registration Form

* Indicates required field

Name of Child/ Youth *

First

Last

Your Child's School *

Age & Grade *

Birthday (for cards) *

Medical Number *

Parent/ Guardian Name *

First

Last

Email for Awana updates *

Home Phone Number *

Church Affiliation (if any) *

Cell Phone *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Permission to photograph your child (for slideshows only) *

Yes No

Does your child have allergies? Does your child have any learning challenges? *

How did you hear about this Awana Club? *

Submit Registration

Awana Club Registration Fee:
1st child or youth: $50
2nd child or youth: $45
Every child or youth there after: $40

**If registration fees are a challenge to pay all at once (or at all), or you have any questions...please contact us:

Chad & Tanya Hooker
Awana Ministry Directors
C: (250) 218-0681
E: [email protected]

Register for awana

Awana Registration Form

How can we serve you?

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