2020-2021 AWANA Clubber Registration

Payment Status/Notes
2020-2021 Clubber Registration

You will only need to register one time for your entire family.
Family Information
Parent/Guardian *

Last Name First Name
Phone Number *
Additional Contact *
(i.e. Spouse cell # or Emergency Contact)
Phone Number
Home Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Church
Others authorized to pick up your children
In past years, we have used the New King James version of the Clubber handbooks. Awana is now producing the handbooks in three versions. Please choose the version you would prefer below for your family. *

New King James Version (default) English Standard Version New International Version (1984)
Physician Name and #
This is in case we are unable to reach a parent or emergency contact
Email is our main source of communication. Your email address will not be shared with anyone outside of our Awana program.
Email *
example@example.com

Clubber Information
*Due to Covid 19 restrictions we will not have club for our Puggles and Cubbies this year. (We will miss our youngest clubbers very much and hope to see them again next year). Our Sparks, Truth & Training, Trek, and Journey clubbers will have the choice of attending a live club night, viritual club nights or both each month. (A schedule for the year is available at gcchapel.org/awana.)

Parents as you complete this form, please make sure to fully complete each section for each clubber you are registering. You will have the option for each clubber to register for the live club night, viritual club nights, or both. Registering for just one option will not automatically register you for all or register all family members for all. You will also be given the option to register for mask only or mask optional rooms. Room space is limited so it is important that we have the correct number of clubbers participating in each room.

Awana no longer has the traditional blue jersey available, so the traditional green jersery will be for all grades in T&T this year. If your clubber can still wear their blue uniform they will be acceptable as a uniform for this year. However, we also have a new t-shirt option this year for our Sparks and Truth & Training clubbers. This option will be explained in more detail for each clubber you register.

Clubber #7
Child/Youth #7

First Name Last Name
Birthdate *
(mm/dd/yyyy)
Gender *

Male Female
Grade *
Child/Youth will attend: (please selection only one option) *

Live night only Viritual nights only Both live & virtual nights
I would prefer for my child/youth: (please select only one option) *

Mask only room Mask optional room Virtual only (does not apply)
If you need to order a uniform, please select the quantity and size below. Uniform selection is based on clubber's grade. Sparks vest uniforms tend to run small, so please order a size larger than normal. T&T uniform sizes run normal.

This year we have added a T-shirt new option for our Sparks and Truth & Training clubbers. Parents if your clubber is not moving up to a new club or has not outgrown his uniform you do not need to order a new uniform. This t-shirt option is open to all clubbers, and will count as a uniform on club nights.

Trek & Journey clubbers will order uniforms in their separate clubs during the first few weeks of club.
Spark Uniform Vest Quantity (K-2nd Grade $12)
Spark Vest Size
Sparks Quantity T-shirt (K-2nd Grade $5)
Sparks T-shirt Size
T&T Clubber Uniform Quantity (3rd & 6th $17)
T&T Uniform Size
T&T T-shirt Quantity (3rd & 6th $5)
T&T T-shirt Size
Special needs or allergies

Publicity and Medical Releases
Publicity Release: We do hereby authorize the use of our child/children's photograhp(s) on the Grace Community Chapel website for the sole purpose of advertizing activities and events that are a part of the GCC Awana Program. Names, addresses or other personal information will not accompany photograph(s) without express premission. For the GCC Awana year 10/1/20 through 5/13/2021.

Typing your name and date in the spaces below constitutes your signature and acceptance of these terms.
Publicity_Release
Date

Month Day Year
Date
Medical Release: As Parent and/or Guardian, I do hereby authorize the treatment by a qualified and licensed medical doctor of the minors noted above in the event of a medical emergency, which, in the opinion of the attending physician, may endanger his/her life, causing disfigurement, physical impairment, or undue comfort if delayed. This authority is granted only after a reasonable attempt has been made to reach me. This release is completed and signed of my own free will and with the sole purpose of authorizing medical treatment under emergency circumstances in my absence for the GCC Awana year 10/1/2020 through 5/13/2021.

Typing your name and date in the space below constitutes your signature and acceptance of these terms.
Medical_release
Date

Month Day Year
Date

Registration Details
Number of Children *
due
Trek (7-8th Grades) and Journey (9-12th Grades) Clubbers will order uniforms through their separate clubs after the year has started.

Payment
Total Due:
Payment Options: *

Check Paypal
Pay By Check Instructions: Checks should be made out to "Grace Commuity Chapel" and in the memo line please state "Awana registration or Awana Uniforms." You may mail the check to Grace Community Chapel, 7661 Mexico Road, St. Peters, MO 63376. If you prefer, you may bring the check by the church office, Monday-Friday between 9:00am-4:00pm. Checks may also be brought to club on Thursday evening and given to the registration table located on the lower level of the church.
Paypal Total:

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2020-2021 Clubber Registration