Registration for AWANA Clubs

Puggles - Child must be 2 by September 1

Cubbies - Child must be 3 by September 1

PARENTS MUST BE ON CAMPUS DURING CUBBIES AND PUGGLES

Sparks - For Grade K-2

T&T - For Grade 3-5

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* Indicates Required Fields

Age Group:* Choose One Puggles Cubbies Sparks T&T
Learners First Name:* Learners Last Name:* Date Of Birth (mm-dd-yyyy):* Gender:* Grade Entering 2008:* Address:* City:* State:* Postal Code:* Home Phone (###-###-####):* Cell Phone (###-###-####):* Parent/Guardian:* Parent/Guardian Email Address:* Emergency Contact:* Emergency Number (###-###-####)(Cell preferred):* Parent/Guardian Location On Campus:* Allergies or Special Needs (If none please fill in none):* Authorized To Pick Up (1):* Authorized To Pick Up (2):* Church Member:* Choose One Yes No
If Yes to Previous, Where: Photo/Video Release | I authorize the release of my child
to appear in photos and videos, including our website, while
participating in HBC's AWANA Club. All photos and videos are
property of Hillcrest Baptist Church and/or its affiliates.:*
Choose One Yes No
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