Awana Registration

AWANA Clubs

Thank you for pre-registering your child! Our 2023-2024 AWANA year starts September 13 at 6:00p and goes all the way through to the middle of May. Please fill out the form below for each child you are pre-registering. If you have any questions, feel free to email our Awana Director, Dale Kurty at pastorkurty@ortingbapist.com or text him at 814.934.7278. The average cost per child is $40/year. This cost covers their book, vest/shirt, and awards. You will be able to pay (cash/check/credit) at the check in table or through the link below. We are looking forward to an exciting year! Thank you for the opportunity to allow us to work with your kids!

Child's Full Name

Class registration

Parent's Home or Cell Phone

Child's Birth Date

Parent's Full Name

Street Address

Parent's Email

This address will receive a confirmation email

Check yes to receive occasional email updates

Yes No

Emergency Contact Full Name (if we can't reach you personally)

Emergency Contact Cell Phone (if we can't reach you personally)

Child's Age

Child's Grade

Home Church (if any)

Allergies/Medical Concerns

Name of siblings also attending Awana

I authorize the following people to pick up my child from OCBC Awana Club (include yourself).

I authorize the use of my child's picture for social media and AWANA purposes at OCBC.

Yes No

Electronic Signature with Date

Description

Please fill out this form and click submit.

Awana Registration

Description

Please Fix the Following