2023-2024 AWANA Clubber Registration
Please fill out one form per child.
Which Club is your child registering for?
*
Please select one option.
Cubbies (3-4 Yr Olds)
Sparks (Kindergarten - 2nd)
Truth & Training Boys (3rd - 6th)
Truth & Training Girls (3rd - 6th)
Child's Information
Name
*
Gender
*
Please select one option.
Male
Female
Age
*
Grade
*
Food allergies?
*
Please select one option.
Yes
No
If Yes, please explain:
Other information that would be helpful to know:
Parent and Contact Information
First Name
*
Last Name
*
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
Cell Phone
*
Other Phone
Email
*
This address will receive a confirmation email
Submit
Description
Please fill out one form per child.
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