NPBC Awana Clubber Registration 2022-2023

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Contact:
Laura Chumley, NPBC AWANA Director awana.newprospect@gmail.com

It is our prayer that every child and youth will come to know, love, and serve our Lord Jesus Christ. To assist with the purchasing of handbooks, awards, shirts, store items, and other materials, we ask for at least a $10 donation per clubber ($30 family maximum). Donations will be collected at check-in or through church office. Church scholarships are available.

Clubber Information

Clubber Name *

Boy/Girl *

Boy

Girl

Clubber Birthdate (mm-dd-yy) *

Clubber age/grade as of Sept 2022 *

Shirt Size? *

Does the clubber attend a church regularly? What church?

Hobbies/Activities/Interests

Siblings (names/ages)

Medical concerns (ex. Allergies, asthma, etc.) Provide details, if needed. *

Brought by

NPBC daycare

Parent drop off

Parent helps in AWANA

Other:

Clear selection

Individuals authorized to pick up clubber:

Invited by:

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