AWANA Registration Form
For 3 Years - 12th Grade
Parent Name
First Name
Last Name
Parent Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
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Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Which club will your child be attending?
Cubbies 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-6th grade
Trek: 7th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
Do you have additional children to register?
*
Yes
No
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Next
Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Which club will your child be attending?
Cubbies 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-6th grade
Trek: 7th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
Do you have additional children to register?
*
Yes
No
Back
Next
Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Which club will your child be attending?
Cubbies 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-6th grade
Trek: 7th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
Do you have additional children to register?
*
Yes
No
Back
Next
Please enter your child's information below.
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Which club will your child be attending?
Cubbies 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-6th grade
Trek: 7th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
Do you have additional children to register?
*
Yes
No
Back
Next
Child's Name
*
First Name
Last Name
Gender
*
Male
Female
Which club will your child be attending?
Cubbies 3yrs (by Sept 1) to 4yrs (not in kindergarten)
Sparks: Kindergarten - 2nd grade
T&T: 3rd grade-6th grade
Trek: 7th-8th grade
Journey: 9th-12th grade
Does your child have any allergies or medical information our leaders need to know?
Yes
No
If yes, fill in here
Additional Children?
*
If you have more than 5 children to register, please submit this form and start a new one. Thank you!
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My Products: (This order form helps us prepare the correct items. You will be able to pay for these at opening night - and checks can be made payable to "DBC Awana". Also, please be aware that annual dues are $20/child which cover other operational costs)
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( X )
Annual Club Dues ($20 per child)
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Cubbies Appleseed Handbook
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Cubbies Vest
$
13.00
Size
S
M
L
XL
Quantity
1
2
3
4
5
6
7
8
9
10
Cubbies Bookbag (optional)
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sparks Handbook 1 -Hang Glider
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sparks Handbook 2- Wing Runner
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sparks Handbook 3- Sky Stormer
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sparks Vest
$
13.00
Size
S
M
L
XL
Quantity
1
2
3
4
5
6
7
8
9
10
Sparks Bookbag (optional)
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
T & T Handbook Discovery of Grace
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
T & T club shirt
$
18.00
Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Quantity
1
2
3
4
5
6
7
8
9
10
T & T Slingbag (optional)
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Trek Middle School Handbook
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Trek t-shirt
$
17.00
Size
S
M
L
XL
Quantity
1
2
3
4
5
6
7
8
9
10
Journey High School Handbook
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Total
$
0.00
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Submit
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