AWANA 2021 Registration Form
Thank you for choosing to register for AWANA clubs at the Union Church! We are excited to be able to resume our club this year, and look forward to a great year of fun and learning about Jesus!
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AWANA is a program for children age 3 through 4th 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 August 25th, 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
Other Information
Any other information you think might be helpful for us to have
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