AWANA 2025-26
Please fill out this form and click submit.
How did you hear about AWANA?
*
Please select one option.
Friend
Facebook
Returning from last year
Other
Permissions
*
Please select all that apply.
By signing my name below, I do hereby authorize the Woodstock Evangelical Covenant Church to seek emergency medical care for my child(ren) in the event of injury, accident or illness
May we have permission to photograph your child?
*
Please select one option.
Yes
No
Parent Information
Parent's Name
*
Parent's Phone Number
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent's Email
*
This address will receive a confirmation email
Emergency Contact Information
Emergency Contact 1
*
Phone Number for Emergency Contact 1
*
Emergency Contact 2
*
Phone Number for Emergency Contact 2
*
Student Information
Student's Name
*
Student's Age
*
Student's Birthday
*
Student's Grade
*
Medical/Health/Allergy Information
Do you attend church?
*
Please select all that apply.
Yes
No
Home Church
*
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following