AWANA Registration 2025-2026

Clubber Name

Clubber Gender

Male Female

2025-2026 Awana Clubs will be for children ages 3 (before September 1 and potty trained) through 6th grade. Due to limited space Puggles will only be available for children of volunteers who are age 2 (before September 1) or children of volunteers who are 3 and not yet potty trained.

Clubber Birthday

School Clubber Attends (If homeschooled, please say "Homeschool")

Clubber School Grade for 2025-2026 Year

Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Has clubber attended Awana at Northwood Baptist before?

Yes No

List any Life Threatening Allergies or Medical Conditions (Including asthma, seizures, heart disease, etc.)

List any other learning needs that might help us understand and teach your child well. (ADHD, ASD, Dyslexia, etc.)

Will your clubber require life-saving medication to be on site with them? (Please note that any medication will need to be left in the care of an adult for the duration of club time.

Yes (Please list below.) No

Does your clubber have any physical limitations of which we should be aware?

Yes (Please list below.) No

Please use this space to clarify any of the above "yes" answers.

#1 Parent/Guardian Name

#2 Parent/Guardian Name

Address

This address will receive a confirmation email

Phone

Emergency Contact Name OTHER than the guardians listed above.

Emergency Contact Phone

People Authorized to pick up clubbers (must be over 16 years of age AND have the security sticker for the clubber).

Where does the child attend church?

Northwood Baptist Church, Greenridge Northwood Baptist Church, Berkeley Northwood Baptist Church, Wando Woods My child attends a church not listed. (Please name the church below.) My child does not currently attend church

Church where child attends church, if other than those listed above.

Use drop down arrow to select payment amount.

1 Child- $55

2+ Children- $110

You will be prompted to register additional children after you submit this form.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Wednesdays 6PM-7:30PM

We are excited about AWANA Clubs beginning September 10th. Club times will be from 6PM- 7:30PM every Wednesday. Clubs will be for children ages 3 (before September 1 and potty trained) to 6th grade. Due to limited space Puggles will only be available for children of volunteers who are age 2 (before September 1) or children of volunteers who are 3 and not yet potty trained.

Registration is closed each week from Monday- Wednesday to allow for our team to prepare accordingly.

Registration is closed each week from Monday- Wednesday to allow for our team to prepare accordingly.

AWANA Registration 2025-2026

Description

Please Fix the Following