Berean Bible Church Awana Student Registration

Please fill out this form and click submit. Awana begins on September 3, 2025 from 6:00pm - 8:00pm!

Parent 1 Name

Parent 2 Name

This address will receive a confirmation email

Phone

Address

Child 1 Name

Child 1 Gender

Child 1 DOB

Child 1 Uniform Size

Please select one option.

Small Medium Large Extra Large Already have a uniform

Child 1 Grade (for '25-'26)

Child 1 Allergies

If child 1 is new to Berean Awana, what handbooks has he/she completed?

Child 2 Name

Child 2 Gender

Child 2 DOB

Child 2 Uniform Size

Please select one option.

Small Medium Large Extra Large Already have a uniform

Child 2 Grade (for '25-'26)

Child 2 Allergies

If child 2 is new to Berean Awana, what handbooks has he/she completed?

Child 3 Name

Child 3 Gender

Child 3 DOB

Uniform Size

Please select one option.

Small Medium Large Extra Large Already have a uniform

Child 3 Grade (for '25-'26)

Child 3 Allergies

If child 3 is new to Berean Awana, what handbooks has he/she completed?

Child 4 Name

Child 4 Gender

Child 4 DOB

Child 4 Uniform Size

Please select one option.

Small Medium Large Extra Large OpAlready have a uniform

Child 4 Grade (for '25-'26)

Child 4 Allergies

If child 4 is new to Berean Awana, what handbooks has he/she completed?

Emergency Contact (if parent is not reachable)

Person(s) Authorized to Pickup

What church do you attend?

Please share any information you would like our Team to know!

Payment

Registration for 1 child ($25) Registration for 2 children ($50) Registration for 3 children ($75) Registration for 4 children ($100) Pay Later (Handbooks & Uniforms will not be purchased until payment is received. Registration is due by the 3rd week of attendance.) ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit. Awana begins on September 3, 2025 from 6:00pm - 8:00pm!

Berean Bible Church Awana Student Registration

Description

Please Fix the Following