AWANA REGISTRATION & CONSENT FORM



AWANA Registration/Fees Information

Please read the following information and then fill out the three forms included in this packet.

What club should my child be registered for?

Puggles (older 2s, part of the Nursery Program, no registration fees required)

Cubbies (ages 3 and 4, Pre-K)

Sparks (K-2nd)

T&T Ultimate Adventure (3rd & 4th)

T&T Ultimate Challenge (5th - 7th)

What do I need to pay for?

Each child will need to pay for a registration fee (which includes their handbook and uniform) and weekly dues.

Does my child need to purchase a book?

Yes, if your child is starting a new club (listed above).

Yes, if your child is staying in the same club, but finished their book from last year.

No, if your child is staying in the same club and did not finish the book they were working on last year. If your child finishes their current book during this Awana year, a Mid-Year Payment Form will be sent home with your child and the payment for the new book will be requested at that time.

Yes, if your child is staying in the same club, did not finish their book, but cannot find it now.

Note: If your child is new to Awana, they need to start in Book 1 of their group regardless of their grade.

Does my child need to purchase a uniform?

Yes, if your child is new to Awana or if they are starting a new group. Each group has their own uniform. Cubbies have a blue vest, Sparks has a red vest, T&T Adventure has a green jersey and T&T Challenge has a blue jersey. Since children may remain in one club for multiple years, please take into consideration the child’s current size and anticipated growth when selecting the size of uniform. NOTE: Awana uniforms run small, so please order one size larger than your child’s normal size.

When will my child receive their items I purchase?

Handbooks and uniforms usually come within one week of when we place the order. They will not be handed to the clubber until they have completed the entrance booklet for their group as required by AWANA. If your child is starting their second or third year of their group, then their book will be given to them as soon as the order comes in.

Do I need to purchase the CD and handbook bag?

The CD and handbook bag items would be useful to your clubber, but you are not obligated to purchase them. The CD puts your child’s memory verses to music and the bag is useful to carry all their club supplies.

Who do I give my form and payment to?

Please complete the attached forms and give them with your payment to the Awana Registration Team.

Who should I make out my check to?

Please make your check payable to Living Word Church and write Awana in the memo line. Paying by cash or setting up payment arrangements are also an option (see page 5).

Are scholarships available for my child?

There is a limited amount of scholarship funding available. Please only request one if you require assistance for your child to participate. We still encourage you to have your child bring their weekly dues even if it is not the full $.50. This will help to cover their awards and prizes that they earn throughout the year and other expenses that we incur to sponsor the Awana program. They also earn points each week for bringing their weekly dues. Please see page 5 to request a scholarship.

AWANA Registration Form

|Parent/Legal Guardian Information |

|Name of Guardian: |Relationship to child: |

|Address: |Email: |

|City: |State: |Zip: |

|Home Phone: |Mobile Phone: |

|Do you attend a church? |Do you attend our church? |Name of Church |

|( Yes ( No |( Yes ( No | |

|Emergency Contact (other than parent) |

|Emergency Contact 1: |Phone: |Relationship to child: |

|Emergency Contact 2: |Phone: |Relationship to child: |

|Clubber Information |

|Name of Child #1: |Gender: |Club: |

| |( Male ( Female |______Puggles (older 2s) |

| | |______Cubbies (3-PreK) |

| | |______Sparks (K-2nd) |

| | |______T&T (3rd – 4th) |

| | |______T&T (5th – 7th) |

|Age: |Grade: |Birthday: | |

|Allergies (state none if none) or Special Information (Medications, activity restrictions): | |

|Name of Child #2: |Gender: |Club: |

| |( Male ( Female |______Puggles (older 2s) |

| | |______Cubbies (3-PreK) |

| | |______Sparks (K-2nd) |

| | |______T&T (3rd – 4th) |

| | |______T&T (5th – 7th) |

|Age: |Grade: |Birthday: | |

|Allergies (state none if none) or Special Information (Medications, activity restrictions): | |

|Name of Child #3: |Gender: |Club: |

| |( Male ( Female |______Puggles (older 2s) |

| | |______Cubbies (3-PreK) |

| | |______Sparks (K-2nd) |

| | |______T&T (3rd – 4th) |

| | |______T&T (5th – 7th) |

|Age: |Grade: |Birthday: | |

|Allergies (state none if none) or Special Information (Medications, activity restrictions): | |

|Name of Child #4: |Gender: |Club: |

| |( Male ( Female |______Puggles (older 2s) |

| | |______Cubbies (3-PreK) |

| | |______Sparks (K-2nd) |

| | |______T&T (3rd – 4th) |

| | |______T&T (5th – 7th) |

|Age: |Grade: |Birthday: | |

|Allergies (state none if none) or Special Information (Medications, activity restrictions): | |

|Terms and Conditions |

|1.) I consent to and approve my child/children’s taking part in any and all activities conducted by (“CHURCH”) AWANA Clubs. 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 a risk of injury. I |

|fully accept this risk and consent to the treatment of any minor injuries of my child/children, and release, hold harmless and indemnify AWANA and the |

|Church and their officers, directors, agents, employees and volunteers from any and all liability, claims and costs arising from or growing out of such |

|treatment. 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 the Awana volunteers to secure the services of a licensed |

|physician to provide the care necessary for my child’s well being. I assume responsibility for all costs connected to any accident or treatment of my |

|child. |

|2.) I understand that any off-property Awana excursions will be communicated with me beforehand and I will be required to sign a separate medical release |

|form in order for my child to participate in those excursions. |

|3.) I give permission for photo(s) of my child/children to appear among other general club photos in any and all media as long as there is no identifying |

|information published by Living Word. I hereby waive any causes of action I may have because of the use of my child’s photograph. |

|I have read and agree to the Terms and Conditions stated above. |

|______________________________________________ ______________________________________________ ____________________________ |

|Printed Name of Parent/Guardian Signature of Parent/Guardian |

|Date |

AWANA ORDER FORM

Parent’s Name _________________________________

Price Quantity $ Amount

1. Registration Fee

New clubber (incl cost of handbook and uniform) $25.00 _______ $_________

Returning clubber (incl cost of handbook only) $12.00 _______ $_________

Note: If returning clubber needs a new uniform, use New clubber pricing.

Annual dues ($.50 weekly or $15.00 if paid in adv) $15.00 _______ $_________

2. Books – cost included in Registration Fee

Cubbies (ages 3-4):

Book 1 _______ $_________

Book 2 _______ $_________

Sparks (K-2nd grade):

Book 1 _______ $_________

Book 2 _______ $_________

Book 3 _______ $_________

T & T Adventure (3rd & 4th grade):

Book 1 _______ $_________

Book 2 _______ $_________

T & T Challenge (5th - 7th grade):

Book 1 _______ $_________

Book 2 _______ $_________

3. Uniforms – cost included in Registration Fee

Cubbie Vest (ages 3-4)

Small (4) _______ $_________

Medium (5) _______ $_________

Large (6) _______ $_________

X-Lg (8) _______ $_________

XX-Lg (10) _______ $_________

Sparks Vest (K-2nd grade):

Small (6) _______ $_________

Med (8) _______ $_________

Large (10) _______ $_________

X-Lg (12) _______ $_________

XX-Lg (14) _______ $_________

XXX-Lg (16) _______ $_________

T & T Adventure Jersey (3rd & 4th grade):

Youth 10 _______ $_________

Youth 12 _______ $_________

Youth 14 _______ $_________

Adult Small _______ $_________

Adult Medium _______ $_________

Adult Large _______ $_________

Adult XLarge _______ $_________

T & T Challenge Jersey (5th - 7th grade)

Youth 10 _______ $_________

Youth 12 _______ $_________

Youth 14 _______ $_________

Adult Small _______ $_________

Adult Medium _______ $_________

Adult Large _______ $_________

Adult XLarge _______ $_________

4. CDs & Handbags – OPTIONAL

Cubbies Book 1 Verses Music CD (NKJV) $7.00 _______ $_________

Cubbies Book 2 Verses Music CD (NKJV) $7.00 _______ $_________

Cubbies Handbook Bag $7.00 _______ $_________

Sparks Book 1Verses Music CD (NKJV) $10.00 _______ $_________

Sparks Book 2 Verses Music CD (NKJV) $10.00 _______ $_________

Sparks Book 3 Verses Music CD (NKJV) $10.00 _______ $_________

Sparks Handbook Bag $6.00 _______ $_________

T & T Adventure Verses Music CD Book 1 (NKJV) $10.00 _______ $_________

T & T Adventure Verses Music CD Book 2 (NKJV) $10.00 _______ $_________

Note: T & T Challenge does not offer a Music CD

T & T Sling Bag $8.00 _______ $_________

Total $ Amount Due from sections 1 & 4 _____________

Awana PAYMENT METHOD FORM

Parent’s Name: _________________________________________________________________________

Payment Method:

____ Cash _____Check Please make checks payable to the church with

“AWANA” in the memo line.

| |

|Confidential Financial Assistance |

| |

| No child will go without the required handbook/uniform because of financial hardship. |

|If you are unable to pay some or all of the registration fees for club, please check the |

|appropriate line below and sign. |

| |

____ Delayed Payment I am not able to pay at this time, but make the following payment commitment:

________________________________________________________

____ Scholarship Request I am not able to pay the full amount and request a scholarship for

$ _____________ for registration fees (includes books and uniforms).

Signature of Parent or Guardian ___________________________________________________________

Note: Our Awana Commander and Church Staff will review the scholarship requests and contact you.

|OFFICE USE ONLY: |

| |

|Payment Amount Due: ______________________________ Payment Received Date: __________________ |

| |

|Form of Payment: ( Cash ( Check #______________ ( Scholarship Amount ___________________ |

| |

|Person receiving payment: ___________________________ |

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