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GPCCC AWANA Registration for 2016-2017
Online Registration Form & Enrollment Process
The first step of the Awana enrollment process is to complete this online registration form. Enrollment is complete only when ALL of the following 4 items are submitted: 1) Online registration form 2) Payment to GPCCC 3) Sign up for a volunteer spot 4) Sign up for a snack spot. Steps 2 - 4 can be completed on Sundays in the GPCCC breezeway during priority registration period (7/17/16 to 7/31/16). After the priority registration period, this online registration form can still be submitted. But steps 2 -4 must be completed on Friday nights in the Awana office during regular club hours. Awana 2016-2017 begins on Friday, 8/12/16, at 7:30pm.
Family Last Name *
Your answer
Father's/Guardian's First Name *
Your answer
Mother's/Guardian's First Name *
Your answer
Home Address *
Your answer
Email Address *
Your answer
Best phone number to contact you *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Home Church (If none, put N/A) *
Your answer
Have you attended the GPCCC AWANA program regularly in the last two years? *
Name - First Child *
Your answer
Gender *
Birthdate *
MM
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DD
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YYYY
Grade *
Your answer
Allergies or Medical Conditions we should be aware of: *
Your answer
For Child #1, which club? (Club fees are $20 for Puggles & $40 for all other clubs)
Name - Second Child
Your answer
Gender
Birthdate
MM
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DD
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YYYY
Grade
Your answer
Allergies or Medical Conditions we should be aware of:
Your answer
For Child #2, which club?
Name - Third Child
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Grade
Your answer
Allergies or Medical Conditions we should be aware of:
Your answer
For Child # 3, which club?
Name - Fourth Child
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Grade
Your answer
Allergies or Medical Conditions we should be aware of:
Your answer
For Child #4, which club?
Terms and Conditions: 1) I hereby give permission for my child to attend Awana Club at Greater Phoenix Chinese Christian Church. I understand that my child may participate in physical activities such as those held during Game Time. As with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability Greater Phoenix Chinese Christian Church and any persons involved in the Awana Ministry. 2) In the event of an emergency that requires medical treatment for the above named child(ren), I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give permission to the Awana volunteers to secure the services of a licensed physician to provide the care necessary for my child’s well being. I assume responsibility for all costs related to any accident or treatment of my child(ren). 3) I grant permission for photo(s) of my child(ren) to appear among other general club photos as long as there is no identifying information shown. *
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