Awana | Community Evangelical Church

Name of Parent/Guardian (First and Last) *

Email Address *

Relationship to child *

Is your information already on file?

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Best phone number to reach you *

Are you able and willing to receive Awana text updates at this phone number? (e.g. cancellations due to weather)

You can add more than one child at a time.

Name of child *

Birthdate *

Current age (must be potty trained and turned 3 by June 15) *

School Grade for 2024-2025 School Year (if applicable) (only through 4th grade)

Allergies/Medical issues/Other special information

Emergency contact name *

Emergency contact phone number *

Emergency contact's relationship to child *

Who all is authorized to pick up your child (include yourself and emergency contact if they have permission) *

If you don't attend CEC, how did you hear about Awana?

I hereby grant Community Evangelical Church the right to copyright, reproduce, publish and otherwise use my child's photograph in any and all media for the purposes of advertising and promoting Community Evangelical Church. I hereby waive any causes of action I may have because of the use of my child's photograph and/or name.Yes

Awana Registration 24-25