AWANA REGISTRATION

AWANA Registration Form 2026

PARENT / GUARDIAN INFORMATION

Parent/ Guardian First Name

Parent / Guardian Last Name

Primary Phone

Secondary Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

CHILD BEING REGISTERED

Childs First Name

Childs Last Name

Date of Birth

Grade

AWANA CLUB

MEDICAL & ALLERGY INFORMATION

Please provide any information that would help our Awana leaders safely care for your child.

Does your child have any food allergies?

Yes

Please list your childs allergies.

Does your child have any medical conditions our AWANA leaders should know about?

Yes

Please explain any medical conditions.

Does your child require medication during AWANA?

Yes

Please provide information about the medication and any instructions our AWANA leaders should know.

Is there anything else our AWANA leaders should know about your child?

EMERGENCY CONTACT

Please provide someone we can contact if we are unable to reach a parent or guardian.

Emergency Contact First Name

Emergency Contact Last Name

Relationship to child

Emergency Contact Phone

Alternative Phone

Is this person authorized to pick up your child

Yes

CHURCH INFORMATION

We’d love to get to know your family and learn how you heard about Awana.

Does your family attend First Baptist Church of Posey Crossroads?

Yes

If not what church do you currently attend?

How did your hear about AWANA

If you selected other please tell us how you heard about AWANA

PARENT / GUARDIAN AGREEMENT

Please review the statements below and confirm your agreement before submitting this registration.

I confirm that the information provided on this registration form is accurate and complete to the best of my knowledge.

I Agree

I authorize First Baptist Church of Posey Crossroads and its Awana leaders to contact me regarding my child’s participation in AWANA.

I Agree

I understand that Awana leaders may contact me or the emergency contact listed on this form if my child becomes ill, injured, or requires immediate attention during AWANA.

I Agree

I give permission for photographs or videos of my child taken during church or Awana activities to be used in First Baptist Church of Posey Crossroads communications, including the church website, social media, and promotional materials.

I give permission

I understand that I may contact the church if I need to update any information about my child.

I Agree