AWANA Clubber Registration 2017-2018

Please fill out for each child.
Email address
Child
Name: First
Your answer
Child
Name: Last
Your answer
Child
Nick Name
Your answer
Child
Birth Date
MM
/
DD
/
YYYY
Child
ALERGIES/MEDS/SPECIAL NEEDS
Your answer
Child
2017-18 School Year
Uniform Size
Clubbers are required to wear their uniform to each club meeting. Consider getting the uniform large so that it will fit for multiple years. Cost is in addition to your dues.
Puggles Uniform Size (2yrs old)
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Cubbies Uniform Size (3yrs-4yrs)
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SPARKS Uniform Size (Kindergarten-2nd Grade)
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TNT Adventure Uniform Size (3rd and 4th Grade)
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TNT Challenge Uniform Size (5rd and 6th Grade)
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Workbook
Please Check the next book your clubber will need. Note if you are new to AWANA your Child will begin on book one. Note Cost is additional.
PARENT/GUARDIAN FIRST NAME
Name first
Your answer
PARENT/GUARDIAN LAST NAME
Name last
Your answer
Address
Street
Your answer
Address
City
Your answer
Address
State
Your answer
Address
Zip Code
Your answer
Email
Your answer
Best Phone
Your answer
Total number of children will you be enrolling?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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