AWANA Registration 2017/2018
 
AWANA Registration 2017/2018
SOME THINGS TO KEEP IN MIND WHEN REGISTERING:
FOR CUBBIES (3-4 years old): We ask that a parent/guardian remain in the building. You will need to purchase a new book each year. You will need to buy a uniform UNLESS your child already has one.
FOR SPARKS (K-2nd grade): You will need to purchase a new handbook each year, UNLESS your child has not complete last year's Spark book, then he/she can continue in that book. You will need to buy a uniform UNLESS your child already has one.
FOR TRUTH & TRAINING (3rd-6th grade): Ultimate Adventure is for 3rd & 4th Grade. Ultimate Challenge is for 5th & 6th. Each group has different uniforms. If your child is entering either 3rd or 5th grade, or is new to AWANA, then you will need to purchase a new uniform. ALL children in T&T will need to purchase a new handbook this year. The only exception is if your child is entering 6th grade and they did not finish their book last year. They can continue in the unfinished book this fall.
PLEASE COMPLETE THE REGISTRATION INFORMATION BELOW. Registration fee for 1 child is $15.00, 2 children is $30.00, 3 or more is $42.00. This includes the entrance book, patches and awards. Other items available/see AWANA secretary.
(1st) Child’s First & Last Name  * 
(1st) Child’s Date of Birth: (MM/DD/YYYY)  * 
(1st) Child’s Grade: (MUST be 3 years old before Sept. 1st if registering for Cubbies OR 5 years old before Sept. 1st if registering for Sparks)  * 
Registration Fee - (1st) Child
(1st) Child’s Uniform: (MUST purchase unless you already have one for your child)
(1st) Child’s Uniform Size
(1st) Child’s Book: (MUST purchase for all Cubbies, and those newly entering Sparks, 3rd, 4th, or 5th grade or if child completed last year’s book)
(1st) Child’s Handbook Bag (optional)
(2nd) Child’s First & Last Name
(2nd) Child’s Date of Birth (MM/DD/YYYY)
(2nd) Child’s Grade: (MUST be 3 years old before Sept. 1st if registering for Cubbies OR 5 years old before Sept. 1st if registering for Sparks)
Registration Fee - (2nd) Child (see drop down IF APPLICABLE)
(2nd) Child’s Uniform (Must purchase UNLESS you already have one for your child):
(2nd) Child’s Uniform Size (if applicable)
(2nd) Child’s Book (MUST purchase for all Cubbies, and those newly entering Sparks, 3rd, 4th, or 5th grade or if child completed last year’s book)
(2nd) Child’s Handbook Bag (optional)
(3rd) Child’s First & Last Name
(3rd) Child’s Date of Birth: (MM/DD/YYYY)
(3rd) Child’s Grade: (MUST be 3 years old before Sept. 1st if registering for Cubbies OR 5 years old before Sept. 1st if registering for Sparks)
Registration Fee - (3rd) Child
(3rd) Child’s Uniform: (MUST purchase unless you already have one for your child)
(3rd) Child’s Uniform Size (if applicable)
(3rd) Child’s Book (MUST purchase for all Cubbies, and those newly entering Sparks, 3rd, 4th, or 5th grade or if child completed last year’s book)
(3rd) Child’s Handbook Bag (optional)
(4th) Child’s First & Last Name
(4th) Child’s Date of Birth: (MM/DD/YYYY)
(4th) Child’s Grade: (MUST be 3 years old before Sept. 1st if registering for Cubbies OR 5 years old before Sept. 1st if registering for Sparks)
Registration Fee - (4th) Child
(4th) Child’s Uniform: (MUST purchase unless you already have one for your child)
(4th) Child’s Uniform Size (if applicable)
(4th) Child’s Book (MUST purchase for all Cubbies, and those newly entering Sparks, 3rd, 4th, or 5th grade or if child completed last year’s book)
(4th) Child’s Handbook Bag (optional)
FAMILY INFORMATION:
Father’s/Guardian’s First & Last Name
Father’s Phone:
Mother’s/Guardian’s First & Last Name
Mother’s Phone:
Address:
City:
Zip:
Home Church:
Emergency Contact other than parents (name & phone#)
Doctor’s Name
Doctor’s Phone:
Adults authorized to pick up child: (see drop down)  * 
Names of others who are authorized to pick up child:
ALLERGIES or MEDICAL CONDITIONS: Please list name(s) of child/children along with any allergies or medical conditions that we need to be aware of
As a parent/guardian of the above named child(ren), I do hereby authorize the treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to contact me. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence. (PLEASE ENTER YOUR NAME & DATE BELOW) * 
Your Email Address  * 
Please type in the box to the right »  * 
Total $
 
 
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