2017-2018 AWANA Registration
Chinese Bible Church of San Diego: 12335 World Trade Dr. Suite 2 San Diego www.cbcsd.com

From 9/22/17 to 5/25/18 (Every Friday @ 7:30 to 9:30)

REGISTRATION FEE: $50.00 (does not include the followings)
Additional Fees:
Uniform: Cubbies: $15
Sparks(K to 2nd): $15
  T&T(3rd & 4th): $16
 T&T(5th): $17

Books: $10 

(All prices included tax, shipping and handling)
Write check payable to Chinese Bible Church of San Diego

For further information, please contact Anh Hang @ anhqhang@gmail.com or (858)705-3610 or Pastor Eva @ (858)538-2356

Untitled Title
NEW STUDENT *
Required
CUBBIES
SPARKS
T & T
STUDENT NAME *
Your answer
GENDER *
Required
BIRTH DATE *
00/00/0000
Your answer
AGE *
Your answer
ADDRESS *
Your answer
SPECIAL MEDICAL ATTENTION / ALLERGY *
Your answer
FATHER'S NAME *
Your answer
FATHER'S CELL PHONE # *
Your answer
MOTHER'S NAME *
Your answer
MOTHER'S CELL PHONE # *
Your answer
E-MAIL ADDRESS *
Your answer
EMERGENCY CONTACT PERSON & PHONE # *
Your answer
CONGREGATION *
Required
RELEASE FORM *
I give my permission for (name in box) to attend and participate in all activities of the 2017 – 2018 Awana Program at Chinese Bible Church of San Diego. I further absolve and release the Chinese Bible Church of San Diego and all of its workers from all liabilities due to lose of property or injuries sustained during the execution of this program (including the transportation of the aforementioned person(s) to and from the church). I also give my permission to the church co-workers or medicayl personnel to provide appropriate medical treatment for the aforementioned person(s) in case of injuries sustained during program.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms