Awana Registration 2022-2023
Awana Begins Sunday, September 11th at 6:00 PM
  • Cubbies- Ages 3 & 4
  • Sparks- K - 2nd grade
  • T&T- 3rd grade - 6th grade
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Email *
Parent/Gardian Name(s) *
Street Address *
City *
State *
Zip *
Email Address
Home Phone
Mobile Phone
Emergency Contact Name and Number (During Club Time-Other than parents)
Other persons authorized to pick up children-Name and number
Home Church
Child 1 First Name *
Child 1 Last Name *
Birth Date *
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DD
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Gender *
Grade  *
Grade in school as of September 1st
Allergies/Restrictions
Any other information you would like to share that might help us serve your child better.
Child 2 First Name
Child 2 Last Name
Birth Date
MM
/
DD
/
YYYY
Gender
Clear selection
Grade 
Grade in school as of September 1st
Clear selection
Allergies/Restrictions
Any other information you would like to share that might help us serve your child better.
Child 3 First Name
Child 3 Last Name
Birth Date
MM
/
DD
/
YYYY
Gender
Clear selection
Grade 
Grade in school as of September 1st
Clear selection
Allergies/Restrictions
Any other information you would like to share that might help us serve your child better.
Child 4 First Name
Child 4 Last Name
Birth Date
MM
/
DD
/
YYYY
Gender
Clear selection
Grade 
Grade in school as of September 1st
Clear selection
Allergies/Restrictions
Any other information you would like to share that might help us serve your child better.
Family Physician and Phone Number

I am interested in volunteering:

Note: All Awana Club leaders and volunteers must submit to a background check before working with the children.
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I grant permission for my child’s/children's photo or video without his/her name, which may be taken during Awana to appear on the church website, church media and social media or to be used for publicity or display purposes. *
1)   I understand that my child/children may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, Westbrooke Church and any persons involved in the Awana Club ministry. 

2)   In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact.  However, if I/we cannot be reached, I give my permission to the Awana volunteers to secure the services of a licensed physician to provide the care necessary for my child’s wellbeing. I assume responsibility for all costs connected to any accident or treatment of my child.

3) The Awana registration fee is $25 per child and includes each child's uniform, tote bag and book. The fee is payable to Westbrooke Church and may be paid anytime or on the first club night.

4)  Signature required at 1st Awana club night.
 *
A copy of your responses will be emailed to the address you provided.
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