Wednesday evening services for January 4 have been cancelled.
8350 Pomona Drive | Arvada, CO 80005 | 303.425.1655

A.W.A.N.A. Registration

Child's First Name*:

Child's Last Name*:

Parent's First Name*:

Parent's Last Name*:

Child's Grade*:

Child's Allergy/Medical Conditions*:

Address*:

City*:

State*:

Zip*:

Contact Phone Number*:

Emergency Phone Number*:

Name of Person Bringing Child*:

Name of Person Picking Up Child*:

Email Address*:

Occasionally, we would like to contact your child to see how they are enjoying club and if they need help completing their handbooks. We would also like to send written correspondence such as "Get Well" cards and a "Birthday Card." By clicking on the provided box you are giving us permission as the legal parent/guardian to contact your child, by written communication and by telephone to discuss club activities.

YesNo