NCC AWANA Registration Form 2025-2026: JOURNEY + ASL's

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Please complete all fields to register for the Newark Community Church AWANA club.

Go to <http://nccawana.blogspot.com/> to see costs rubric and instructions for payment.
Go to <https://nccawana.blogspot.com/p/journey.html> for everything you need to know for Journey C-Track and ASL's.

For additional information, email <info@newarkcommunitychurch.org>

Which High School option? *

Awana Student Leader (ASL)

ASL + Journey C-Track

Attend Awana but not serve as an ASL

Awana Student Leader Contract *

I do not want to or am undecided about being an Awana Student Leader

I've read and signed the Awana Student Leader Contract (available on the Journey page of the NCC Awana blog), but haven't yet turned it in.

I've read and signed the Awana Student Leader Contract (available on the Journey page of the NCC Awana blog), and have turned it in to Lance Kotsubo

Required

First *

Student's first name

Last *

Student's last name

Street Address *

City *

ZIP *

Email Address *

Age *

Gender *

Grade *

Birthday *

Church

Home Phone *

Clubber's Cell Phone *

Enter multiple numbers if applicable

Parent's Name *

Emergency Contact *

Emergency Phone *

Allergies/Special Needs

Photo Release for NCC Youth Ministry and Awana ministry slideshow *

Parent Volunteering Opportunities

Please check all that apply:

I would like to help bring snacks for a club meeting

I am interested in being a handbook listener

I am interested in being a speaker

I am interested in being a leader

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