Awana Registration Form-Child Kindergarten - 6th Grade (2025-2026)

About Your Child

Name:

Gender:

Male Female

Grade

Date of Birth:

Age

School

Home Church

List any medical conditions, issues, allergies, or medications your child has:

Parent/Guardian Contact Info

First Name:

Last Name:

Email:

This address will receive a confirmation email

Mailing Address:

Phone:

Emergency Contact Info

(Someone other than yourself)

First Name:

Last Name:

Relationship to Your Child:

Phone:

Alternative Adults Authorized for Release of your Child

For example, friends or extended family whom you authorize to pick up your child. (Or in case of an emergency/early pickup).

Names & Phone Numbers

Release Authorization

I give permission for my child to walk themselves home.

Yes No

Description

Awana Registration