AWANA Registration


AWANA Registration

Registration, Uniform, and Handbook fees for 2017-2018:

AWANA Year begins on Sunday, September 10, 2017.
Registration- $15 per clubber or $50 per family
Puggles Club (2yr. olds)- $10 Uniform Shirt
Cubbies Club (3&4yr. olds)- $11 Uniform Vest, $11 Handbook, $6 Handbook Bag (optional)
Sparks Club (K5-2nd)- $11 Uniform Vest, $11 Handbook
T&T Ultimate Adventure Club (3rd-4th)- $16 Uniform Shirt, $10 Handbook
T&T Ultimate Challenge Club (5th-6th)- $16 Uniform Shirt, $10 Handbook
*Please note that if your child is in the same club as last year, and still fits his or her uniform you do not need to purchase another one for this year.  However, you will still need to pay registration and book fees.

Begin Registration Below

Clubber Information



Parent/Guardian Information


In Case of Emergency


Church Affiliation


Does your family attend a church service two or more times a month?*

Consent and Signature


Medical Treatment*

I, who by law may do so, authorize the administration of emergency medical treatment to the minor who is the subject of this form. I understand all reasonable safety precautions will be taken at all times by Potomac Heights Baptist Church (PHBC) and its agents. I will not hold PHBC liable for any accident, injury, or disease incurred by the subject of this form. I understand that in the event medical intervention is needed every attempt will be made to contact the person(s) listed above immediately. I will not hold PHBC or its agents responsible for any incident that occurs as a result of imprudent behavior from my child. This form will be effective from July 2017 through June 2018.

Use of Video and Photos*

I give permission for photos and videos that include my child to be used to promote AWANA clubs at Potomac Heights Baptist Church.

Registration Fee*

I understand that by signing this form, I agree to pay the registration fee of $15 for each AWANA clubber that I register (not to exceed $50 per household).