AWANA

AWANA registration fee is $15 per child with a Family Cap of $45. In addition to the fee all clubbers must purchase a uniform and handbook. Puggles is open for leader's children and do not pay a registration fee and do not have a handbook.

Registration Fees: Please Select One (count children cubbies through T & T) *

1 Child ($15.00)

2 Children ($30.00)

3 or more Children ($45.00)

AWANA Registration

All clubbers, with the exception of Puggles, must have a Uniform and Handbook. The bag is optional. Please select the appropriate Handbook and Uniform as you register your children. If you are registering more than 5 children per family you will need to fill out a second form.

Child One

Child 1: First Name

Last Name

Gender

Male

Female

Grade

Birthdate

Any Health concerns for Child?

Has child attended AWANA before?

Yes

No

If yes, what book were they on at the end of the last AWANA year?

Club Placement

Puggles: 3 years and under ( Leader's Children only)

Cubbies: 3 & 4 year olds ( 3yrs by Sept. 15th)

Sparks: K through 2nd grade

Truth & Training "T&T": (3rd & 4th grade)

Truth & Training "T&T": (5th & 6th grade)

Prices for Handbook

Cubbies $10.00

Sparks $10.00

T&T (3rd & 4th grade) $10.00

T&T (5th & 6th grade) $10.00

Prices for Uniform

Prices for AWANA bag

Cubbies $6.00

Sparks - $6.00

T & T - $8.00

Child Two

Child 2: First Name

Last Name

Gender

Male

Female

Grade

Birthdate

Any Health concerns for Child?

Has child attended AWANA before?

Yes

No

If yes, what book were they on at the end of the last AWANA year?

Club Placement

Puggles: 3 years and under (Leader's Children only)

Cubbies: 3 & 4 year olds ( 3yrs by Sept. 15th)

Sparks: K through 2nd grade

Truth & Training "T&T": (3rd & 4th grade)

Truth & Training "T&T": (5th & 6th grade)

Prices for Handbook

Cubbies $10.00

Sparks $10.00

T&T (3rd & 4th grade) $10.00

T&T (5th & 6th grade) $10.00

Prices for Uniform

Prices for AWANA bag

Cubbies $6.00

Sparks - $6.00

T & T - $8.00

Child Three

Child 3: First Name

Last Name

Gender

Male

Female

Grade

Birthdate

Has child attended AWANA before?

Yes

No

If yes, what book were they on at the end of the last AWANA year?

Any Health concerns for Child?

Club Placement

Puggles: 3 years and under (Leader's Children only)

Cubbies: 3 & 4 year olds ( 3yrs by Sept. 15th)

Sparks: K through 2nd grade

Truth & Training "T&T": (3rd & 4th grade)

Truth & Training "T&T": (5th & 6th grade)

Prices for Handbook

Cubbies $10.00

Sparks $10.00

T&T (3rd & 4th grade) $10.00

T&T (5th & 6th grade) $10.00

Prices for Uniform

Prices for AWANA bag

Cubbies $6.00

Sparks - $6.00

T & T - $8.00

Child Four

Child 4: First Name

Last Name

Gender

Male

Female

Grade

Birthdate

Any Health concerns for Child?

Has child attended AWANA before?

Yes

No

If yes, what book were they on at the end of the last AWANA year?

Club Placement

Puggles: 3 years and under(Leader's Children only)

Cubbies: 3 & 4 year olds ( 3yrs by Sept. 15th)

Sparks: K through 2nd grade

Truth & Training "T&T": (3rd & 4th grade)

Truth & Training "T&T" : (5th & 6th grade)

Prices for Handbook

Cubbies $10.00

Sparks $10.00

T&T (3rd & 4th grade) $10.00

T&T (5th & 6th grade) $10.00

Prices for Uniform

Prices for AWANA bag

Cubbies $6.00

Sparks - $6.00

T & T - $8.00

Child Five

Child 5: First Name

Last Name

Gender

Male

Female

Grade

Birthdate

Any Health concerns for Child?

Has child attended AWANA before?

Yes

No

If yes, what book were they on at the end of the last AWANA year?

Club Placement

Puggles: 3 years and under (Leader's Children only)

Cubbies: 3 & 4 year olds ( 3yrs by Sept. 15th)

Sparks: K through 2nd grade

Truth & Training "T&T": (3rd & 4th grade)

Truth & Training "T&T" : (5th & 6th grade)

Prices for Handbook

Cubbies $10.00

Sparks $10.00

T&T (3rd & 4th grade) $10.00

T&T (5th & 6th grade) $10.00

Prices for Uniform

Prices for AWANA bag

Cubbies $6.00

Sparks - $6.00

T & T - $8.00

Parent and Emergency Information

Parent(s)/Guardian(s)

Address

City

State

Zip Code

Phone

Email Address

Church Home

Mom's Cell Phone

Dad's Cell Phone

Emergency Contact (Other Than Parent)

Emergency Cell Phone

Emergency Home Phone

Child's Physician

Physician's Phone

By signing and typing in your name below you authorize Discovery Fellowship Church to obtain emergency medical care deemed necessary for your child in the event that you or an emergency contact cannot be contacted/located immediately. Printed Name Below *

Parent/Guardian Signature (Use mouse to sign)

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DATE

Checks should be made out to Discovery Fellowship Church and brought to the church. We are not able to take on-line payments.

If you have more than 5 children you will need to fill out another form and add the additional payment

Balance Due:

$0.00

I understand that as a participant of the AWANA club of Discovery Fellowship Church my child(ren) may be photographed or videotaped during normal club activities and these photos/videos may be used in promotional materials and on the church website. I understand that my child's name will not be connected with his picture and/or video.

I DO grant permission for Discovery Fellowship Church to use photographs of my child(ren) in promotional materials or to post pictures/videos of my child on the church/AWANA website. Printed Name Below:

Parent/Guardian Signature (Use mouse to sign)

clear

DATE

**********************************

I DO NOT grant permission for Discovery Fellowship Church to use photographs of my child(ren) in promotional materials or to post pictures/videos of my child on the church/AWANA website. Printed Name Below:

Parent/Guardian Signature

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DATE

Your completed form will be sent to Discovery Fellowship Church. Please bring your AWANA payment to church and give it to the AWANA secretary. THANK YOU