Awana Registration 2025-2026

Clubber Information

Child's Name (First and Last):

Birthdate:

Sex: Male Female

Please list any allergies or medical conditions we should be aware of?

Family Information

Parent/Guardian Name 1:

Parent/Guardian Phone # 1:

I would like to receive text reminders about theme nights and any weather cancellations:

Yes No

Email:

This address will receive a confirmation email

Parent/Guardian Name 2:

Parent/Guardian Phone # 2:

Address:

Home Church:

Handbooks, Uniforms, & Handbags

If you would like to order a vest for your Cubbie (3-5 year old)/Sparky (K-2nd Grade) or Awana bag for any age student's handbooks and Bibles let us know below. They can be paid for at the registration table. These are all optional and just for fun!

Items to be Ordered Sparks/Cubbies Vest ($15.00) Sparks/Cubbies Handbook Bag ($10.00) T&T/Trek/Journey Handbook Bags ($18.00)

Vest Size for Cubbies (3-5 Years Old) Size Small 4 Size Medium 5 Size Large 6 Size XL 8 Size XXL 10

Vest Size for Sparks (K-2nd) Size Small 6 Size Medium 8 Size Large 10 Size XL 12 Size XXL 14 Size XXXL 16

Permissions

Name of Emergency Contact:

Emergency Contacts Relationship to Child:

Phone Number for Emergency Contact:

Those Who Are Authorized To Pick Up My Child:

Emergency Medical Authorization - I hereby authorize the leaders of AWANA to act on my behalf when I cannot be contacted, IN CASE OF AN EMERGENCY, resulting in the need of medical attention for my child named above. I also agree to hold harmless the AWANA leadership and First Baptist Church of Silvis, IL, from any accidents as a result of my child's participation in its activities. Furthermore, I agree to reimburse First Baptist Church, Silvis, IL for all medical expenses.

I Agree

Photography Release -- I understand that photographs will be taken throughout the Club Year which may be used as part of the Award Night slide presentation and FBC Website. I hereby give permission for my child to be photographed. I further understand that if I do not wish my child to be photographed, it is my responsibility to notify the Ministry Director.

I Agree

Awana Registration 2025-2026

Description

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