AWANA Registration 2022-2023

AWANA Registration-AWANA begins on Wednesday nights in August and is for 4 Year Olds (by 09/01/2022 & Potty Trained) through 6th Grade Students. Space is limited for 4 Year Olds. Parents must attend 1 parent meeting to be offered in August & September. Fill out this form and click submit.

Child's Information-Please fill out 1 Form for each Child

Name

Gender

Please select one option.

Male Female

Birthdate

Grade

Please select one option.

Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th

Allergies

Special Needs

Parent/Guardian Information

Father's Name

Father's Phone

Father's Email

Mother's Name

Mother's Phone

Mother's Email

This address will receive a confirmation email

Alternate Pick-Up Person

Alternate Pick-Up Phone

Church Home

Address

Would you like to volunteer this year?

Please select one option.

Yes! Sign me up!! No, but I can substitute. Not this year.

Which semester can you substitute as a listener?

Please select one option.

Fall Spring Both not at this time

In Case of Accident I Prefer

Please select one option.

Administer First Aid & Secure Medical Attention Needed Administer First Aid & Call Me Before Medical Attention is Given

By submitting this form, I understand that I will not hold Westland Baptist Church, Katy, responsible for any injuries or accident and I give my permission for my child/children to participate. I understand that any photography taken of my child/children is used only for WBC media.

Cost is $60 per student, due at registration. For those that serve weekly with Awana your children are discounted, $45 is due at registration. If you are having trouble with this form please call or email Natalie Holt, Minister to Children at 281-392-5099 - awana@westland.cc for more assistance.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

AWANA Registration 2022-2023

Description

Please Fix the Following