AWANA Registration Form 2026-2027

Welcome! We're excited to kick off another Awana year with you!

Please read the following information before completing your registration:

Payment Instructions
Please click on each payment field—including the scholarship fund field—regardless of how many children you are registering. Be sure to enter an amount for each field or select "0" before submitting the form.

Awana Clubs

Cubbies: For children who are two years away from entering Kindergarten. Children must be fully potty-trained (no pull-ups).

Sparks: For children in Kindergarten through 2nd grade.

T&T (Truth & Training): For children in 3rd–5th grade.
- T&T Parents: All T&T clubbers will need a new handbook at the beginning of each Awana year.

6th Grade: Students entering 6th grade will participate in our Middle School Ministry.

Scholarships
If the registration cost is a financial hardship for your family, please enter "0" in each payment field and select the scholarship option at the bottom of the form. We never want cost to prevent a child from participating in Awana.

By registering your child, you are consenting to your children being photographed and on video for Heartland social media and promotional channels.

If you would like more information about opting out, please email our Communications Coordinator Rachael at rbomsta@heartlandfree.com

How did you hear about us?

Mother/Guardian Name

Mother/Guardian Email

This address will receive a confirmation email

Mother/Guardian Phone

Father/Guardian Name

Father/Guardian Email

This address will receive a confirmation email

Father/Guardian Phone

Child's Primary Address

Emergency Contact Full Name (other than parent/guardian)

Emergency Contact Phone

Relationship to Child/ren

Child #1 Name

Gender

Male Female

Date of Birth

Grade entering fall of 2025

Pre-K K 1st 2nd 3rd 4th 5th

Dues (required)

Shirt/Vest (if child doesn't yet have one)

Book (if child is new or has completed last book) *T&T: new book required

Allergies/Special Concerns

Child #2 Name

Gender

Male Female

Date of Birth

Grade entering fall of 2025 Pre-K K 1st 2nd 3rd 4th 5th

Dues

Shirt/Vest (if child doesn't yet have one)

Book (if child is new or has completed last book) *T&T: new book required)

Allergies/Special Concerns

Child #3 Name

Gender

Male Female

Date of Birth

Grade entering fall of 2025 Pre-K K 1st 2nd 3rd 4th 5th

Dues (required)

Shirt/Vest (if child doesn't yet have one)

Book (if child is new or has completed last book) *T&T: new book required)

Allergies/Special Concerns

Child #4 Name

Gender

Male Female

Date of Birth

Grade entering fall of 2025 Pre-K K 1st 2nd 3rd 4th 5th

Dues (required)

Shirt/Vest (if child doesn't yet have one)

Book (if child is new or has completed last book) *T&T: new book required)

Allergies/Special Concerns

This is a financial hardship, please use scholarship fund Yes

Sponsor a child (donate to scholarship fund)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

AWANA Registration Form 2026-2027

Description

Please Fix the Following