2025-26 AWANA Registration • Campbell Baptist Church

Awana begins September 10 from 6:30–8:00 p.m. and is open to children in JK through Grade 5

Child Information

Child's First Name *

Child's Last Name *

Home Address

City

Postal Code

School Grade *

Age (as of September 30, 2025) *

Child's Birthday (mm/dd/yyyy): *

Child's Ontario Health Card # *

Allergies/Medical

Has this child participated in Awana previously?

Yes

Parent / Guardian Information

Parent/Guardian Name: *

Telephone # *

Permission to give your email to your child's group leaders?

Yes

Is there anyone who MUST NOT pick up your child?

EMERGENCY Contact Information

Contact Person / Relationship:

Tip: Please list an additional emergency contact.

Emergency Phone No(s):

In case of a medical emergency, I hereby give authority to any hospital and/or emergency medical personnel to render immediate medical aid, including transport if necessary, for the child(ren) listed, as may be required at the time for their health and safety. *

Yes, I consent.

No, I do not consent.

Special instructions or needs:

There is a registration fee of $35 per child to help cover the cost of materials.
Due to significant increase in costs, our fee is no longer optional, except under special circumstances.