FSBCJC Awana Clubs Registration Form

First Southern Baptist Church Junction City will sponsor the following Awana Clubs this fall. 

They will meet Wednesday evenings. Registration costs are as follows:

Cubbies                3-5 year olds                  $25.00

(Children entering Cubbies must be 3 years old on or before Aug. 31^st, 2009 and potty trained)

Sparks                  K - 2^nd grade                   $30.00

T & T                     3^rd - 6^th grade                 $35.00

 

Parent’s Name: _______________________________________________________

Spouse’s Name: _______________________________________________________

Address: ____________________________________________________________

City: ______________________________ State: __________ Zip: ______________

Responsible Adult(s) Name & Relationship: _________________________________

Parent’s Cell: ______________________   Spouse’s Cell: ______________________

Home Phone: ______________________

Parent’s E-mail: _______________________ Spouse’s E-Mail: _________________

Home Church: ________________________________________________________

Child’s Name	Birth Date	Grade	Club 2009-2010	Cost
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Total:                                     (registration not to exceed $65 per family) Total Paid:

 

*Please list any allergies/medications/special needs on the back of this form.*

*Registration fees will due by the beginning of club upon check in.*

*Participation in Awanas implies consent for photo release per participant.*

  Return this form & payment to: (make checks payable to FSBCJC)

First Southern Baptist Church

C/O Church Secretary

P.O. Box 284

Junction City, KS 66441