2026-27 AWANA Registration

AWANA is a Bible Club for kids. Ages 3 years old (AS OF August 31, 2026) through 5th grade.

Clubber's Name

*

Address

*

Date of Birth

*

Grade (3's - 5th grade)

*

Please select one option.

3 years (as of August 31, 2026) 4 years (as of August 31, 2026) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Parent/Guardian Information

Parent's Name

*

Email

*

This address will receive a confirmation email

Phone

*

Receive Text Reminders

*

Please select all that apply.

Yes No

Church Information

Are you a church member?

*

Church Name

*

Allergies/Medical Concerns

Any Allergies Your Child Might Have

*

Please List Any Medical Concerns That May Affect Your Child During AWANA (ex. asthma, seizures...)

*

Emergency Contact Information

Name

*

Relationship to Child

*

Phone

*

Dismissal Information

The adults listed below are authorized to pick up my child. (Adults other than parent/guardians).

*

SPBC Release

I, the parent/guardian listed above, grant SPBC permission to use my child's name and photos for the purpose of publicity, promotional materials, and SPBC website/social media.

Check the box below to either agree or disagree to the Marketing Release

*

Please select all that apply.

I Agree I Disagree

Parent/Guardian Name

*

Date

*

Description

AWANA is a Bible Club for kids. Ages 3 years old (AS OF August 31, 2026) through 5th grade.

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