2023-2024 AWANA Registration: North View Missionary Baptist Church
ONE FORM MUST BE COMPLETED PER CHILD. 
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Email *
Clubber's Name (first and last): *
Clubber's Birthday *
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Clubber's Age: *
Clubber's Grade: *
Clubber's Street Address: *
City, State, Zip *
Parent(s)/Guardian(s) Name(s): *
Parent(s)/Guardian(s) Phone Number(s): Please put the person's name beside corresponding phone numbers. *
Person(s) other than above authorized to pick up child from AWANA. If none, type 'none.' (Note: If this changes or you would like to add someone, please let the AWANA commanders know.) *
Clubber's Siblings (names & ages): type n/a if only child *
How did you hear about our AWANA? (invited by...., Facebook, drove by, etc.)
Does your child have any allergies? If so, list them. If not, put n/a *
Any other important/special information we need to know about your child? (Medical conditions, or other special needs etc.) *
The AWANA ministry does it’s best to keep costs to a minimum, however there are a few costs associated when your child participates in AWANA. Please do not let finances stand in the way of your child participating in AWANA.  If there is a financial need, please let the AWANA Director know and we will work with you so your child may continue to participate in our AWANA ministry. There are scholarships available.
Please indicate which class your clubber will be in:
Yearly dues are as follows: (Dues include one handbook per child & their AWANA uniform they should wear it to club each week.)
Puggles(2s & Young 3s must have 2nd birthday before Aug 1st)- $20 for new Puggles, $10 if they already have a shirt
Cubbies (3 & 4s must have 3rd birthday before August 1st) - $30 for new Cubbies, $20 if they already have a vest
Sparks (Kindergarten – 2nd grade) - $30 for new Sparks, $20 if they already have a vest
T&T (3rd – 6th grade)- $35 for new TnTs, $25 if they already have a shirt 
 *
Clubber's vest or shirt size (If your clubber is in the same class as the year before he/she will not need a new uniform unless they have outgrown it- choose the last option):  *

Bags for handbooks and Bibles are recommended but are not required. These can be purchased for an additional fee.

Puggles backpack- $8            

Cubbies handbook bag-$7          

Sparks handbook bag-$6

 T&T handbook bag-$8

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Home Church: *
Would you like to be added to our Church Facebook page? This is where we share announcements and pictures of AWANA club
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Do you give permission for AWANA workers/leaders to photograph or video your child during AWANA hours for AWANA purposes only? (This may include posting pictures to the church's Facebook page) *
Do you agree to the below?
 1) for a volunteer at NVMBC to administer first aid in case of minor emergency.
2) In the event of an emergency that requires medical treatment for the above named child, I understand every effort will be made to contact me or my emergency contract. However, if I cannot be reached, I give permission to the volunteer to secure necessary medical care to provide the care necessary for my child’s well being.
3) you will assume responsibility for all costs connected to any accident or treatment of my child.
 *
1) I have read and understand the terms and conditions of the Medical Release/Photo Release Form.
2) I give permission for my child to attend and participate in activities sponsored by North View. This may include
occasional off campus activities.
3) I will pick up and drop off my child myself or thru the designated person(s) according to the specified timelines. I understand that North View is not responsible for early drop off or late pick up.
4) I have read the parents information packet and gone over the rules and guidelines with my child

Parent Signature (type)
 *
A copy of your responses will be emailed to the address you provided.
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