AWANA Registration


AWANA Registration

Registration for 2019-2020:


AWANA Year begins on Sunday, September 8, 2019.

Club Fees- Any  club fees (for shirts, books, etc.) will be discussed upon arrival at AWANA, and numerous scholarships are available!


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 2019 through June 2020.

Use of Photo and Video*

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