Register

Please fill out the following information in order to register your child for Awana. Once completed, you may visit our Awana store to pay dues and purchase your book and uniform.

  • Club Dues are $32 per child ($1.00 per week x 32 Awana weeks)
  • $24 per child if you have 2-3 children in Awana program
  • $16 per child if you have 4 or more children in Awana program
  • Neighborhood children and guests are no cost
  • Dues can be paid at the beginning of the Awana year or separated into monthly payments.
Guardian's Name
Guardian's Name
Address *
Address
Other than parent
Clubber *
Clubber
Checkbox
Gender
Birthday *
Birthday
Please give name of contact if applicable.
Doctor's Phone Number *
Doctor's Phone Number
Waiver *
Terms and Conditions: 1) I understand that my child/children may participate in physical activities such as those held during game time. As with any physical activity, there is risk of injury. I fully accept this risk, and hold harmless from any legal liability, Canyon Creek Baptist Church and any persons involved in the Awana Club ministry. 2) In the event of an emergency that requires medical treatment for the above-named child/children, I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to Awana volunteers to secure the services of a licensed medical professional to provide the care necessary for my childs well being. I assume responsibility for all costs connected to any accident or treatment of my child. 3) I grant permission for photos of my child to be taken for promotional purposes/slideshow for special occasions. 4) I grant permission for my child's club leader or program director to periodically contact me or my child by mail, email, or phone. If a home visit is desired, my permission will be requested beforehand. I have read and agree to the terms stated above.
Signature *
Signature
Full name qualifies as signature
Today's Date *
Today's Date