IBCClubs.com Awana Registration Area.
Welcome to the online registration area.  Please fill out the form in it's entirety.  Please give your child's first and last name and age as of September 1st.  Upon submission of your registration form, you will be transferred to PayPal to make payments for Club Dues and materials.  You will also be given the opportunity to mail a check into our offices as well.

 
 Child's First Name Child's Last Name Age Gender Relation To Child
Current Grade Awana Club Childs' Birth Date Health Concerns?
Yes
 
Child's Doctor Doctor's Phone Does this child have insurance?  
Yes No  
Insurance Company Policy #  
 
 Child's First Name Child's Last Name Age Gender Relation To Child
Current Grade Awana Club Childs' Birth Date Health Concerns?
Yes
 
Child's Doctor Doctor's Phone Does this child have insurance?  
Yes No  
Insurance Company Policy #  
 
 Child's First Name Child's Last Name Age Gender Relation To Child
Current Grade Awana Club Childs' Birth Date Health Concerns?
Yes
 
Child's Doctor Doctor's Phone Does this child have insurance?  
Yes No  
Insurance Company Policy #  
 
 Child's First Name Child's Last Name Age Gender Relation To Child
Current Grade Awana Club Childs' Birth Date Health Concerns?
Yes
 
Child's Doctor Doctor's Phone Does this child have insurance?  
Yes No  
Insurance Company Policy #  
 
 Child's First Name Child's Last Name Age Gender Relation To Child
Current Grade Awana Club Childs' Birth Date Health Concerns?
Yes
 
Child's Doctor Doctor's Phone Does this child have insurance?  
Yes No  
Insurance Company Policy #  
 
Parent Information.  
Username
Password:
Parent's Name:
Email Address:
Address:
City:
Zip Code:
Phone:
Cell Phone:
Emergency Contact Name:
Emergency Phone:
   
Other Comments: