Chinese Bible Church AWANA Club Registration 2023-2024

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Welcome to CBC AWANA Clubs!
Please submit a separate registration form for each child.4

Email *

Child's Name (first and last name) *

Child's Gender *

Female

Male

Child's Date of Birth (Month-Date-Year) *

YYYY

School grade level in Fall 2022 *

Allergies? *

Medical conditions/special instructions? *

Mother or Guardian's Name *

Parent email address (Mother or Guardian) *

Mother or Guardian's mobile or contact number (please include area code) *

Father or Legal Guardian's Name *

Parent email address (Father or Legal Guardian) *

Father or Guardian's mobile or contact number (please include area code) *

Home street address *

City *

State *

Zip Code *

What church do you attend on Sunday? *

Chinese Bible Church of WLA

None

Other:

Full Name of your Emergency contact *

Cell Phone Number of your Emergency contact *

Next Step:

1. You will be notified once we have received your registration form.
2. You will receive our Covid-19 guidelines/Medical Consent Form through email for signatures.

3. The registration fee this year is $60 per child. $50 for the siblings. We accept cash or checks.

4. You may bring the registration fee and the Covid-19/Medical Consent forms with you on the first night of AWANA.

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