AWANA – Child Registration Please fill in all the fields below to register your child for AWANA. Club dues are $20 per child/year or $1 per week (24 weeks). We will NOT deny any child because of inability to pay dues. Guest clubbers are not expected to pay dues. Child's Name*Date of Birth*Grade*Age 4 (Pre-K)1st2nd3rd4th5thAllergies/Medical/Special Needs Diagnosis*Mother/Guardian NameMother/Guardian PhoneFather/Guardian NameFather/Guardian PhoneAdditional Emergency Contact*Child's Address*Additional Children from the Same HouseholdOther adults authorized to pick up childrenI give LAC AWANA Clubs permission to photograph my child/children.*YesNoDo you want to receive AWANA reminders and closings via text messages?*YesNoSubmit Error occured. Please confirm your data and submit again: