Awana GRPC Registration Form 2023-2024 Cubbies: 4 & 5 years oldSparks: Kindergarten – 2nd GradeTruth & Training: 3rd – 6th Grade Parent First Name *Parent Last Name *Address *City *State *select oneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code *Phone Number (just the numbers) *Email *Home Church Name *Relationship to Child *select oneMotherFatherHow many children do you want to register? *select1 Child2 Children3 Children4 Children5 ChildrenAny special instructions or information you want to provide for your children or sibling/s? *Child 1 First Name Child 1 Last Name Child 1 Date of Birth Child 1 School Grade select onePre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th GradeChild 1 Gender select oneBoyGirlDoes Child 1 need a new vest or jersey? (the same vest/jersey is used every year, unless child joins a new club or needs another size) NoYesChild 1 Vest/Jersey Size (please scroll to end of form to view size chart) select sizeSMLXLXXLDoes your child 1 have any allergies or medical conditions? select oneNoYesIf yes, please enter them below: Child 2 First Name Child 2 Last Name Child 2 Date of Birth Child 2 School Grade select onePre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th GradeChild 2 Gender select oneBoyGirlDoes Child 2 need a new vest or jersey? (the same vest/jersey is used every year, unless child joins a new club or needs another size) NoYesChild 2 Vest/Jersey Size select sizeSMLXLXXLDoes your child 2 have any allergies or medical conditions? select oneNoYesIf yes, please enter them below: Child 3 First Name Child 3 Last Name Child 3 Date of Birth Child 3 Gender select oneBoyGirlChild 3 School Grade select onePre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th GradeDoes Child 3 need a new vest or jersey? (the same vest/jersey is used every year, unless child joins a new club or needs another size) NoYesChild 3 Vest/Jersey Size select sizeSMLXLXXLDoes your child 3 have any allergies or medical conditions? select oneNoYesIf yes, please enter them below: Child 4 First Name Child 4 Last Name Child 4 Date of Birth Child 4 School Grade select onePre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th GradeChild 4 Gender select oneBoyGirlDoes Child 4 need a new vest or jersey? (the same vest/jersey is used every year, unless child joins a new club or needs another size) NoYesChild 4 Vest/Jersey Size select sizeSMLXLXXLDoes your child 4 have any allergies or medical conditions? select oneNoYesIf yes, please enter them below: Child 5 First Name Child 5 Last Name Child 5 Date of Birth Child 5 School Grade select onePre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th GradeChild 5 Gender select oneBoyGirlDoes Child 5 need a new vest or jersey? (the same vest/jersey is used every year, unless child joins a new club or needs another size) NoYesChild 5 Vest/Jersey Size select sizeSMLXLXXLDoes your child 5 have any allergies or medical conditions? select oneNoYesIf yes, please enter them below: I have provided all the information requested for each child I am enrolling in Awana Clubs *YESI consent to Grace Romanian Pentecostal Church using photo(s) of my child(ren) at AWANA on the church website or in other church media. If my child displays any illness symptoms, he/she will not be attending club. I will not hold Awana Grace or Grace Romanian Pentecostal Church liable for any illness related diagnoses. I have read, fully understand, and agree to all of the above terms and conditions. (copy) *I consentSignature (type in your full name) *NameSubmit
