2026/2027 Awana Registration • Heritage Baptist Church

Thank you for taking the time to register your child for the 2026/2027 Awana Club year at Heritage Baptist Church. To help us keep accurate information for each child, we do ask that you complete one form per child.

Parent/Guardian Info

First Name *

Last Name *

Mobile Number *

Email Address *

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

Child's Info

Child's name: *

Tip: Last Name, First Name

Child's Age & Date of Birth: *

Tip: List Age, DOB in yyyy/mm/dd format

Child's School Grade as of 08/01/2026: *

Does your child have any known allergies? *

Yes

If your child has known allergies, please describe:

Please list any other important medical information you believe we should be aware of:

Secondary Responsible Party Info

Other than the guardian named above, please list one other responsible party that we may release your child to: *

Tip: Please list a name & a phone number for this person.

Permissions

I (parent/guardian listed above) authorize permission for Heritage Baptist Church to use pictures of my child (listed above) for promotional use on church social media.

Yes

By completing and submitting this form, I (parent/guardian listed above) give my permission for my child (listed above) to participate in the activities of Heritage Baptist Church's Awana Club on the church property and activities that may involve transportation to sites off the church property such as, but not limited to, restaurants, parks, and the homes of families hosting the activity. I understand that advance notice will be given for these activities. This permission is valid from August 2025 through May 2026.