beginning september 13th

4:25p-5:50p

Trailhead Church

Please fill out a registration form for each child attending

Child's Name

First Name

Last Name

Grade Level

Birthdate

YYYY

Parent/Guardian Name

First Name

Last Name

Mailing Address

City, State

Zip Code

Phone

(###)

###

####

Home Church

Emergency Contact (if different from guardian listed above)

First Name

Last Name

Phone

(###)

###

####

Transportation

There will be transportation provided for children from school to Trailhead Church if needed

Yes

Special Needs Note

If you would like your child’s handbook modified to meet special needs, please let the commander know. We desire to give all children the opportunity to experience the rewards of book completion and Bible memorization. I would like to speak to the commander about modifications for:

Registration Fee

The registration fee is $20 per child. This fee includes the cost of the handbook, and helps to offset costs of materials, supplies, awards, etc. If a family cannot afford the registration fee, we encourage them to pay whatever amount they feel they can and we will find sponsors to cover the remainder.

Full registration fee will be paid to Trailhead Church

I feel I can provide some of my child's fee

I cannot afford the fee at this time, but would like my child to attend AWANA

Consents

I have read and agree to the consent forms (medical and photo) below

Yes

Other- please specify in the additional information section

Additional Information

Please list any allergies, medical concerns or anything else for your child/children that we should know about to better ensure your child’s safety.

Photo Consent Release

Medical Release