AWANA REGISTRATION 2008-2009

Club Year: September 08' - April 09'

Every Thursday Night: 6:30 - 8:15 p.m.

Ages: 3 years - 6th Grade (child must be 3 by 9/1/08)

Cost: $20.00 per child/year plus book and uniform

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Child's Name Birthday
MM/DD/YYYY

Grade in Fall 2008

 Special Needs/
Allergies

Comments/
Special Requests 		If you would like for your child to be with a particular friend or leader, you can make this request known in the box below. We will make every effort to meet your request, please forgive us, if we are not able.

Mother's Name
Father's Name

Street Address
Address Continued
City
State
Zip / Postal Code
Home Phone
Cell Phone
Work Phone
E-Mail
Home Church
Emergency Contact
Emergency Phone

Is this your first year at WBC's AWANA Club?



I acknowledge that photographs may be taken of my children to be used in slideshows, bulleting board displays, or future promotional materials.


I'm interested in helping:

Be diligent to present yourself approved to God, a worker who does not need to be ashamed,
rightly dividing the word of truth.     -2 Timothy 2:15