2026 - 2027 AWANA Enrollment Form

CLUBBER REGISTRATION INFO

AWANA (Pre-K - 6th grade) will meet on Wednesday evenings from 6:00 to 7:30 pm, beginning on Wednesday, August 26. Our Family Kick-Off Night to purchase supplies will be on Wednesday, August 19 from 6:00 to 7:00 pm.

Our Cubbies is for those children who are 4 years of age by 9/1/26 and potty-trained. Sparks is for K - 2nd grade and our T & T is for 3rd grade - 6th grade.

Annual dues for our AWANA Club are $10 each for the first and second child, $5 for the third child, and any additional children are free.

Clubbers are also required to purchase their grade-level handbook ($12). Uniforms are optional ($13 for Cubbies & Sparks; $18 for T & T). Items must be purchased in advance in order to be received. We are more than happy to work with you if you have any need of financial assistance.

Dues, books, and uniforms can be be paid for at our Family Kick-Off Night on August 19, or at any regular Wednesday evening club meeting.

If you have any questions, please feel free to contact Andria Brass at Andria@Brassfamilyfarm.com/815-222-8804.

Name

Gender

Male Female

Birth Date

Grade for 2026 - 2027

Physical Learning/Assistance Needs

List any Food Allergies

Parent / Guardian Name

Parent / Guardian Contact Phone Number

Address

Email Address (Will receive weekly email updates)

This address will receive a confirmation email

Home Church

Do you agree to allow photos of your child to be used in church presentation or church promotional materials?

Yes No

2026 - 2027 AWANA Enrollment Form

Description

Please Fix the Following