Chinese Bible Church                                         AWANA Club Registration 2024-2025
Welcome to CBC AWANA Clubs!                                                       
Please submit a separate registration form for each child.
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Email *
Child's Name (first and last name) *
Child's Gender *
Child's Date of Birth (Month-Date-Year) *
MM
/
DD
/
YYYY
School grade level in Fall 2023 *
Allergies? *
Medical conditions/special instructions? *
Mother or Guardian's Name *
Parent email address (Mother or Guardian) *
Mother or Guardian's mobile or contact number (please include area code) *
Father or Legal Guardian's Name *
Parent email address (Father or Legal Guardian) *
Father or Guardian's mobile or contact number (please include area code) *
Home street address *
City *
State *
Zip Code *
What church do you attend on Sunday? *
Full Name of your Emergency contact *
Cell Phone Number of your Emergency contact *
Next Step:
1. You will be notified once we have received your registration form.  
2. You will receive our Medical Consent Form through email for signatures.
3. The registration fee this year is $70 per child.  $60 for the siblings. We accept cash or checks. 
4. You may bring the registration fee and the Medical Consent forms with you on the first night of AWANA.                                                                                                                       
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