NPBC Awana Clubber Registration 2018-2019
Contact:
Laura Chumley, NPBC AWANA Director awana.newprospect@gmail.com
Jeri Lynn Nobles, NPBC Administrative Assistant 864-682-3949

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 a $10 donation per clubber ($30 family maximum). Donations will be collected at registration/check-in. Church scholarships are available.

Clubber Information
Clubber Name *
Your answer
Clubber Birthdate *
MM
/
DD
/
YYYY
Clubber age/grade as of Sept 2018 *
Shirt Size? *
Does the clubber attend a church regularly? What church?
Your answer
Hobbies/Activities/Interests
Your answer
Siblings (names/ages)
Your answer
Medical concerns (ex. Allergies, asthma, etc.) Provide details, if needed. *
Your answer
Brought by
Individuals authorized to pick up clubber:
Your answer
Invited by:
Your answer
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