Awana 2024-2025 Registration Form

Please fill out this form (one for each child you wish to register) and click submit.

Child's Name (please complete one form for each child from your household that you are registering, Ages 3-5th Grade)

Gender

Please select one option.

Male Female

Birthdate (MM/DD/YYYY)

Grade (2024-2025 School Year)

Address

Parents/Guardian

Home Phone

Work Phone

Cell Phone

This address will receive a confirmation email

List names and phone numbers of other adults authorized to drop off/pick-up your child:

Emergency Contact (other than parent) & Relationship to Child

Emergency Contact Phone

Name of Home Church

Special Needs: (learning, behavior, diet, medical, allergies) What can we do to help with these needs?

Please select one option.

Yes No

If yes, please share about these special needs:

I give permission for my child's image to be used in any ECC publication promotional materials or slide shows, including the ECC website. (By clicking yes, you are providing your electronic signature).

Please select all that apply.

Yes No

I will respect my child's leader by promptly picking up my child and I understand that I must drop off/pick up my child in their assigned areas. (By clicking yes, you are providing your electronic signature).

Please select all that apply.

Yes, I agree. No

I agree to pay $30 for this child to participate in Awana (whether in Cubbies, Sparks or T&T) on the first night of attendance.

Please select all that apply.

Yes No

Adult participation is vital to the Children's Ministry at ECC. If you would like to help serve please contact Paula Holmen at 320-894-7019.

Please select all that apply.

Description

Please fill out this form (one for each child you wish to register) and click submit.

Awana 2024-2025 Registration Form

Description

Please Fix the Following