AWANA 2023 Registration Form

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Thank you for choosing to register for AWANA clubs at the Union Church! We are excited to kick off a new year, and look forward to a great year of fun and learning about Jesus!

Details...

AWANA is a program for children age 3 through 6th grade that focuses on teaching children about the Bible while having fun in the process. The Union Church AWANA clubs meet on Wednesdays after school from 3:30-5:00 pm. Our first club meeting is September 6th, and we will meet throughout the school year, taking a break at Christmas.

Child Information

Child First Name *

First name of child attending AWANA

Child Last Name *

Last name of child attending AWANA

Child Age *

Age of child attending AWANA (AWANA begins at age 3)

Child Address *

The home address of the child attending AWANA

City *

City in which child resides

State *

State in which child resides

ZIP Code *

ZIP Code in which child resides

Home Church

The church the child regularly attends (if none, write none)

Grade Entering in Fall *

Select the grade the child will be in this fall (if not beginning school yet, mark Pre-K)

Parent/Guardian Information

Parent/Guardian First Name *

First name of the parent or guardian of the child

Parent/Guardian Last Name *

Last name of the parent or guardian of the child

Parent/Guardian E-mail

E-mail address at which you can be reached

Parent/Guardian Phone Number

The phone number at which you can be reached

Emergency/Health Information

Emergency Contact *

Person(s) we can contact in the event of an emergency during AWANA

Emergency Contact's Relation *

The relationship of the emergency contact to the child (parent, grandparent, friend, etc.)

Emergency Contact Phone # *

Number at which we can reach the emergency contact

Allergies/Special Needs

Please list any allergies or special needs for which we may need to account

Additional Information

Walk/Ride Permission

My Child has permission to walk/ride their bike home from AWANA

I give AWANA leaders permission to send my child home on foot or on their bike (please check if yes)

Other Information

Any other information you think might be helpful for us to have

Submit

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