AWANA Contact Information 2022

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Please complete this form to register your child for the upcoming AWANA year.

Clubber Name *

Parent/Guardian name(s) *

Street Address *

Email(s) for reminders and newsletters *

Mobile *

Mobile 2

Clubber Birthday *

YYYY

Clubber Age *

Club for which you are registering *

Puggles - Age 2

Cubbies - Age 3-5 pre-K

Sparks - Grades K-2

Truth & Training - Grades 3-5

Home Church

Individuals Authorized to Pick up *

Emergency Contact Name and Phone *

Any allergies or medical conditions we need to know about?

Fees - Please bring a check to the first night of club.

Puggles (age 2): Registration $25*, T-shirt $12
Cubbies (ages 3-5, pre-k): Registration $25*, Bag $10, Vest $15
Sparks (grades K-2): Registration $25*, Bag $10, Vest $15
T&T (grades 3-5): Registration $25*, Bag $15, Shirt $20

*Registration fee: $25 for one child; $45 for two children, $60 for three or more

Would you like to purchase a bag *

Yes

Would you like to purchase a vest or shirt *

Yes

If you would like to purchase a vest or shirt, please indicate the size you would like. Keep in mind that you child will wear it for the entirety of their current program, so you may want to purchase larger than their current size.

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