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Awana Registration
Awana Registration
Child Information
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Gender
(Required)
Female
Male
Birthday
(Required)
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
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31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2000
1999
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1995
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1993
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1991
1990
1989
1988
1987
1986
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1984
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1981
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1979
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1977
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1975
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade
(Required)
Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Bible Version Preference
King James Version
English Standard Version
Are there any special concerns or information we should know about your child?
Parent/Guardian Information
Child lives with:
(Required)
Both Parents
Mother
Father
Other
Parent/Guardian 1 Name
(Required)
First
Last
Parent/Guardian 1 Phone
(Required)
Parent/Guardian 1 Email
(Required)
Parent/Guardian 2 Name
First
Last
Parent/Guardian 2 Phone
Parent/Guardian 2 Email
Emergency Contact
Emergency Contact Name
(Required)
First
Last
Relationship to Child
(Required)
Phone
(Required)
Email
Registration Fees & Optional Items
Awana provides an age-appropriate class for your child to learn the Scriptures and have fun with kids their age. The registration fee covers the cost of a book, awards your child earns, and weekly activity costs for your child. Please check which class your child will be registering for and then select any optional items you would like for your child.
Class Registration ($20)
(Required)
Cubbies: 3 & 4 Year Olds
Sparks: K - 2nd Grade
T&T: 3rd - 5th Grade
Optional Items
(Required)
Cubbie Vest ($15)
Sparky Vest ($15)
Cubbie Bag ($7)
Sparky Bag ($7)
T&T Shirt ($20)
None
Check all you would like to order. NOTE: Most awards earned are placed on a vest.
Vest/Shirt Size
(Required)
Youth S
Youth M
Youth L
Youth XL
Youth XXL
Youth XXXL (Sparks Only)
Liability Release & Emergency Treatment Agreement
Consent
(Required)
I agree to the Liability Release & Emergency Treatment agreement
My child has my permission to attend Awana 2024/25 hosted by Villa Baptist Church and held at Central Christian Academy in Indianapolis, IN on Wednesdays from 6:45-8:15 pm.
I UNDERSTAND AND DO HEREBY AGREE TO ASSUME ALL OF THE RISKS AND OTHER RELATED RISKS WHICH MAY BE ENCOUNTERED BY MY CHILD PARTICIPATING IN AWANA.
The Undersigned hereby release and forever discharges Villa Baptist Church, its staff, adult leaders, and any other persons, who it might be claimed to be liable. None of whom admit any liability from any and all claims, demands, actions, causes of action or suits of any kind or nature whatsoever and particularly on account of all injuries known and unknown, both to person and property, which have resulted or may in the future develop from any accident which might occur as a result of joining AWANA sponsored by Villa Baptist Church.
I further state that I HAVE CAREFULLY READ THE FORGOING RELEASE AND KNOWN THE CONTENTS THEREOF AND AM SIGNING THIS RELEASE AS AN ACT OF MY OWN FREE WILL. This is a legally binding agreement which I have read and understand.
Name
(Required)
First
Last
Date Signed
(Required)
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Photo Release
I, the undersigned, do hereby grant or deny permission to Villa Baptist Church to use the image of my child, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials, videos, and digital images.
Photo Consent
(Required)
Grant Permission
Deny Permission
Name
(Required)
First
Last
Date Signed
(Required)
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Offsite Travel Permission
On rare occasions, our older students have special reward nights that take place at a nearby restaurant (i.e. McDonald's or Dairy Queen). Please indicate whether you grant or deny permission for your child to leave Central Christian Academy with their classmates and leader for these reward nights.
Travel Consent
(Required)
Grant Permission
Deny Permission
Name
(Required)
First
Last
Date Signed
(Required)
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Δ
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I’m New
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Student Ministry
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About
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Watch Live ↗
View Past Sermons ↗
Events
Contact
Visit This Sunday