New AWANA Form

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Fall 2014 Registration Form

Child's Last Name:

Child's First Name

Parent or Guardian Name

Address:

Home Phone:

Cell Phone:

E-Mail Address(es)

Birth Date:

Age (as of 9/1/14):

Current School and Grade:

If not a member of Cumming Baptist, do you attend another church

yes

If yes, what church

Medical Information (conditions, allergies, medications, etc.)

Persons Authorized to pick up child

T-Shirt Size: (choose 1)

5T
6T

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

How did you hear about CBC Awana (choose 1)

church sign

friend/family

newspaper

website

word of mouth

mailings

other (please describe below)

Comments:

Note: $10 club fee due at first club meeting

Important Note: Payment is intended to help with supplies. It is NOT intended to prevent children from participating. If funds are not available,
Payment is NOT required in order to register or attend.

click here

for printable waiver form

Important Note: If you receive an error message after submitting form, there is a problem with the server. Please try again later.

If the message persists, please contact the church office.

If you receive a "Thank You" message, your registration has been sent. if you have not received a confirmation email from the church within 2 business days (Monday-Thursday),

please contact the church office