MBC Taylor Awana 2024-2025 Student Registration Form

Student's Name *

Student's Address *

Student's Age/Grade *

2024-2025 age or school year by Sept. 1:

Student's Gender *

New to Awana? *

Previously Attended Awana?

Please list your: Last book completed, last book award received, and your previous Awana club (if any)

Parent Info

IMORTANT -- If you are registering for multiple children: please fill this section out completely for the first registered student and for each additional student only enter Parent 1's Name and put SAB (Same As Above) in the other fields, to save yourself some effort! :)

Parent 1's Name *

Parent 1's Email Address *

Parent 1's Cell Phone Number *

Parent 2's Name

Parent 2's Email Address

Parent 2's Cell Phone Number

Emergency Info

IMORTANT -- If you are registering for multiple children: please fill this section out completely for the first registered student and for each additional student only enter Parent 1's Name and put SAB (Same As Above) in the other fields, to save yourself some effort! :)

Emergency Contact 1 *

Persons to contact in case of an emergency if parent(s) cannot be reached. Please respond with the name, relationship, and phone number.

Emergency Contact 2 *

Persons to contact in case of an emergency if parent(s) cannot be reached. Please respond with the name, relationship, and phone number.

Food Allergies? *

If the student has any food allergies that are affected by snack time at Awana, or that leaders need to know about (such as an EpiPen), please list them here. Otherwise, reply "No" or "N/A".

Learning Challenges?

Does your child have any learning challenges that you'd like us to be aware of?

Club Fees

Here are the fees for the books and materials each clubber will need. An email will be sent to Parent 1's email address with the total amount owed and information to pay electronically. You may also pay by cash or check on the first night of club. Ask about Scholarships if needed.

$35.00 Annual Dues One Student
$70.00 Annual Dues Two Students
$100.00 Annual Dues Family Maximum

Everything included with annual dues except book bag. Costs are listed in the form when selecting a bag if needed.

Parent Interested in Serving in Awana (Background Check Required) *

Cubbies Vest Size - 3 yrs by Sept 1st

Sizes run small and will be worn for 2 years.

Cubbies Handbook Bag ($7.00)

Sparks Vest Size - K to 2nd Grade

Sparks Handbook Bag ($7.00)

T&T Shirt Size - 3rd to 6th Grade

T&T Sling Bag ($16.00) - T&T Draw String Bag ($8.00)

I would like to donate additional funds to help provide scholarships for those who are unable to participate without financial assistance.

Additional Info

In addition to this form, please note that you will have to print, fill out, sign, and return the "Medical Release" form on registration night. It is available here: https://shorturl.at/mOFYR

Commitment - Parent Signature *

"We commit to pray for Awana clubbers, Awana Leaders and the Awana club. We commit to assisting with lessons and scripture prior to arrival each week as needed." . . . PARENT, please type your name here as your digital signature.

Commitment - Student Signature *

"We commit to pray for Awana clubbers, Awana Leaders and the Awana club. We commit to preparing lessons and scripture prior to arrival each week." . . . STUDENT, please type your name here as your digital signature.

Questions or comments?