2021 - 22 BPGC AWANA CLUB REGISTRATION FORM

IN-PERSON MEETINGS AT BURNABY PACIFIC GRACE CHURCH (subject to government or church enforced restrictions)

Time: Every 2nd & 4th Saturday between Sept 24, 2022 to June 24, 2023, 7-9pm.

Cubbies (Age 3 - 5)
Sparks (Kindergarten - Grade 2)
T&T (Grade 3 - 6)

Please read through Overview of 2022-23 Club Plans & Parents Involvement

COMPLETE ALL 3 STEPS BELOW to be FULLY REGISTERED.

1. Complete this online registration form

2. E-transfer to Burnaby Pacific Grace Church and under memo, include your name and designate "Awana", Instructions Here

3. Send bpgcawana@gmail.com with a copy of the proof of payment
a) Email Subject: Awana Registration Payment for [Child(ren)'s first & last name(s)]
b) Email Content: Show proof of payment via screenshot or in words indicating paid amount and confirmation code.

*Each child in the family must submit an individual registration, but payment can be done together.

Burnaby Pacific Grace Church
3883 Triumph Street, Burnaby, BC, Canada, V5C 1Y6
(604) 298-8277 Email: bpgcawana@gmail.com

Returning Clubber?

Clubber Name

First NameLast Name

Birth Date

Date

Care Card Number

Age

Sex

Grade in September

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number

Format: (000) 000-0000.

Please note any allergies

Please check preferred languages

Other

Father's name

First NameLast Name

Father's Chinese Name (If applicable)

Father's Email address

example@example.com

Christian?

Attending fellowship (If applicable)

Mother's name

First NameLast Name

Mother's Chinese Name (If applicable)

Email address :

example@example.com

Christian?

Attending fellowship (If applicable)

All parents must try their best to attend fellowship.

Please note if your family currently attends another church?

Referred by: (If applicable)

Name of Referral

First NameLast Name

Referral's Phone Number

Format: (000) 000-0000.

Emergency Contact #1

First NameLast Name

Emergency Contact #1 Phone Number

Format: (000) 000-0000.

Emergency Contact #2

First NameLast Name

Emergency Contact #2 Phone Number

Format: (000) 000-0000.

Please indicate if the clubber requires a new uniform. All clubbers entering a club for the first time will need a new uniform ($15)

Please indicate shirt size. Cubbies: https://store.awanacanada.ca/product/awana-cubbies-uniform-vest Sparks: https://store.awanacanada.ca/product/sparks-uniform-vest T&T: https://store.awanacanada.ca/product/tt-student-uniform-leader-jersey (chest sizes correspond to shirt size)

To enroll your child, parents are required to be available to participate in 2 meetings during the Awana year in at least one of the following ways: setting up, leading activities, doing handbooks, participating in games, facilitating discussions, supervising, teaching, supporting and others. Arrangements will be made and communicated with parents in advance.

Parent / Guardian Name

First NameLast Name

I 本人, First Name Last Name , the parent / guardian of 為 First Name Last Name的父母監護人, authorize Burnaby Pacific Grace Church Awana Club to take photos and videos of my child(ren)
during the Awana program for future promotional materials for Burnaby Pacific Grace Church 願意及授權予本立比頌恩堂基督少年軍可以在活動內為我的子女拍照及錄影作為宣傳推廣材料之用.

Signature

Date

2022 - 23 BPGC AWANA CLUB REGISTRATION FORM

Family Information

Annual Registration Fee

Parent / Guardian signature: