AWANA Club 2022-2023

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Welcome Awana Clubbers! Our first week of Awana for the 2022-2023 year will be Wednesday September 21st. Please fill out and submit the below form for every child, from age 3 (or 2 years before kindergarten and potty trained) thru senior high that you would like to register.

Parent/Guardian Name(required)

Street Address(required)

City(required)

Zip Code(required)

Parent/Guardian Phone #(required)

Email(required)

Emergency Contact(required)

Emergency Contact Phone #(required)

Who can pick up your child/children?(required)

Name of Home Church

Clubber #1 Name(required)

Date of Birth(required)

Grade(required)

Gender(required)

Clubber #1 Food Allergies

Medical Concerns or Special Needs

Clubber #2 Name

Date of Birth

Grade

Gender

Clubber # 2 Food Allergies

Medical Concerns or Special Needs

Clubber #3 Name

Date of Birth

Grade

Gender

Clubber # 3 Food Allergies

Medical Concerns or Special Needs

Clubber #4 Name

Date of Birth

Grade

Gender

Clubber # 4 Food Allergies

Medical Concerns or Special Needs

Permission To Use Images and Video

I hereby grant permission for Heritage Baptist Church to record sounds, images, or video of my child/children while attending the AWANA Club. I also give permission for Heritage Baptist Church at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by Heritage Baptist Church in relation to AWANA Club.

Parent/Guardian Name

Date

Submit Form

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Awana Fees

• Registration:
  • 6th Grade and Younger – $15 per child (includes cost of one book)
  • 7th – 12th Grade – $5 per child
• Uniforms:
  • Cubbie Uniform – $13
  • Sparks Uniform – $13
  • T&T Adventure & T&T Challenge – $18

_{*All fees can be paid by cash or check at the church}