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AWANA Clubber Registration 2019-2020
Please fill out one form for each child.
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Email
*
Your email
Child
*
Name: First
Your answer
Child
*
Name: Last
Your answer
Child
Nick Name
Your answer
Child
*
Birth Date
MM
/
DD
/
YYYY
Child
*
ALERGIES/MEDS/SPECIAL NEEDS
Your answer
Child
2019-2020 School Year
2 years old
3-4 years old
Kindergarten
1st
2nd
3rd
4th
5th
6th
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Uniform Size
Clubbers are required to wear their uniform to each club meeting. Consider getting the uniform large so that it will fit for multiple years. Cost is in addition to your dues.
Puggles Uniform Size (2yrs old)
Puggles 2T $10
Puggles 3T $10
Pugges 4T $10
Puggles 5T $10
Puggles 6T $10
I already have one
Clear selection
Cubbies Uniform Size (3yrs-4yrs)
I already have one
Cubbies Small $15.00
Cubbies Medium $15.00
Cubbies Large $15.00
Cubbies Extra Large $15.00
Cubbies 2 Extra Large $15.00
Clear selection
SPARKS Uniform Size (Kindergarten-2nd Grade)
Sparks Small $15.00
Sparks Medium $15.00
Sparks Large $15.00
Sparks Extra Large $15.00
Sparks 2 Extra Large $15.00
I already have one
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TNT Adventure Uniform Size (3rd and 4th Grade)
TNT Adventure Youth M $20.00
TNT Adventure Youth L $20.00
TNT Adventure Adult S $20.00
TNT Adventure Adult M $20.00
TNT Adventure Adult L $20.00
I already have one
Clear selection
TNT Challenge Uniform Size (5rd and 6th Grade)
TNT Challenge Youth M $20.00
TNT Challenge Youth L $20.00
TNT Challenge Adult S $20.00
TNT Challenge Adult M $20.00
TNT Challenge Adult L $20.00
I already have one
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Workbook
Please Check the next book your clubber will need. Note if you are new to AWANA your Child will begin on book one. The book fee is in addition to the yearly dues.
Puggles 2yrs old take home kit $12.00
Cubbies 3-4 yr old Honey Comb $12.00 (All Cubbies will work on the same book)
Sparks k-2nd grade Hang Glider book 1 $12.00
Sparks K-2nd grade Wing Runner clubber book 2 $12.00
Sparks K-2nd grade Sky Stormer clubber book 3 $12.00
I didn't complete my workbook last year. I don't need a new book yet. FOR SPARKS ONLY
T&T Adventure 3rd-4th grade NEW BOOK (All TNT Challenge will work on the same book) $12.00
T&T Challenge 5th -6th grade NEW BOOK (All TNT Challenge will work on the same book) $12.00
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PARENT/GUARDIAN FIRST NAME
*
Name first
Your answer
PARENT/GUARDIAN LAST NAME
*
Name last
Your answer
Address
*
Street
Your answer
Address
*
City
Your answer
Address
*
State
Your answer
Address
*
Zip Code
Your answer
Email
*
Your answer
Best Phone
*
Your answer
Total number of children will you be enrolling?
*
Dues for 1 child $30.00
Dues for 2 children $55.00
Dues for 3 children $75.00
Dues for 4+children $90.00
Other:
A copy of your responses will be emailed to the address you provided.
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