Awana Registration – Calvary Chapel Troy MO

Calvary Chapel Troy Awana Program Registration Form

$35 annual dues covers books, shirt, and car kit.

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Child's Name

First

Last

Child's Shirt Size

Child's date of birth

Child's Age

Child's Grade

If between grades, list the grade the child will be in at the start of the next school year.

Parent/Guardian Name

First

Last

Parent/Guardian Phone

Parent/Guardian Email

Parent/Guardian Address

Emergency Contact 1

First

Last

Emergency Contact 1 Phone

Emergency Contact 2

First

Last

Emergency Contact 2 Phone

Doctor

Doctor Phone

Allergies or Special Needs

Permission & Agreement

I agree and give my permission

Please enroll my child in the Calvary Chapel of Troy's Awana Club.

Photo/Media Release

I agree and give my permission

I give permission for my child to be photographed during activities associated with
Cavalary Chapel of Troy's Awana Club. I understand that said photos/videos may be used for
the Cavalary Chapel of Troy's Awana Club, and that my child’s name will not be used with the
image.