Awana Clubs Registration
Please fill out this form and click submit.
Parent/ Guardian Name
*
Relationship to Child
*
Email
*
This address will receive a confirmation email
Cell Phone
*
Emergency Contact Name
*
Emergency Phone
*
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child 1
*
Shirt Size
*
Please select one option.
Sm
Med
Lg
X-Lg
XX-Lg
Club
*
Please select one option.
4 & 5 yr
1-3 grade
4-6 grade
Child 2
Shirt Size
Please select one option.
Sm
Med
Lg
X- Lg
XX-Lg
Select Option
Sm
Med
Lg
X- Lg
XX-Lg
Club
Please select one option.
4 -5 yr
1-3 grade
4-6 grade
Select Option
4 -5 yr
1-3 grade
4-6 grade
The cost is $30 for the first child and $20 for any additional child after.
Submit
Description
Please fill out this form and click submit.
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