Awana Kids Registration 2024-2025

Please fill out this form and click submit.

Awana Clubs program, is a FUN, mid-week Bible based program that takes place every Wednesday from 6:20pm - 8:00pm, September 11- May 7. Kids will have fun playing relay games, making friends, memorizing bible verses, earning store bucks to shop for prizes and more!

Please register each child in your family who will be attending. If you have any questions please email ann_minch@yahoo.com

Mother's First and Last Name

This address will receive a confirmation email

Father's First and Last Name

This address will receive a confirmation email

Home Phone

Cell Phone

Address

Child's Name

Gender

Please select one option.

Male Female

Date of Birth

Child's Grade

Please select one option.

Preschool or younger Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Child 2 Name

Child 2 Gender

Please select one option.

Male Female

Child 2 Date of Birth

Child 2 Grade

Please select all that apply.

Preschool or Younger Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Child 3 Name

Child 3 Gender

Please select one option.

Male Female

Child 3 Date of Birth

Child 3 Grade

Please select all that apply.

Preschool or Younger Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Registration Payment

1 Child ($40) 2 Children ($80) 3 Children ($120)

Amount

Uniform Payment

Not Purchasing ($0.00) 1 Uniform ($22.00) 2 Uniforms ($44.00) 3 Uniforms ($66.00)

Amount

Handbook Payment

Not Purchasing ($0.00) 1 Book ($17) 2 Books ($34.00) 3 Books ($51.00)

Amount

RELEASE FORM: Every child will need a release form on file, please be sure to fill out the on-line release form sent to you with a separate link. Email ann_minch@yahoo.com if you have questions..

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Awana Kids Registration 2024-2025

Description

Please Fix the Following