Sparks Registration
Grades K, 1 & 2 

Hi!  I'm Sparky!
I heard you want to register your child for Spakrs.  Great!
Please fill out this form and we will be ready.

Please fill out the information below, this will be sent to our registration office.  When you come to Awana for the first time we will have one more form filled out along with $40 to cover the expense of the program, a book and a shirt for your child.  Scholarships are available, please let us know what we can do to help your child come to Awana.  
Child's name for Sparks Registration
Parent's email
If yes, please explain:
Any Allergies/Health Issues? [N or Y]
Best Phone Number for you
Parent's Name(s)
Birth Date
Emergency Contact if you are not available
Physician's phone number
Health Insurance Provider
Policy/ID Number
Any activity restrictions for your child? [N or Y]
If yes, please explain:
Church Affiliation