FBCM - Awana

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First Baptist Church of Maricopa
AWANA Enrollment Form

We consider it a privilege and a joy to teach the Word of God to all children and train them to serve Him. On your first night of attendance please visit the registration desk located in the church lobby to pay the required registration fee.

A family that has more than 2 children will receive a $10 discount for child #3 and up.

Registration fees:
Age 2 - $15 for registration, uniform cost not included
Age 3 & 4 - $25 includes required book, uniform cost not included
Kindergarten thru 8th grade $15, book and uniform cost not included
9th thru 12th grade - $30 includes 2 required books, uniform cost not included

Time: 6:30 p.m. to 8:00 p.m., Starts September 7, 2011, Ends May 23, 2012 with awards night.
Children's Age: for children 2 years old (must be 2 by September) through the 12th grade.

Sorry we are no longer accepting registration for Cubbies (3 & 4 year olds) and Sparks (kindergarten thru 2^nd grades) for 2011/2012 Awana.

* Fields are required to complete this form

* Last Name:

Father:

Mother:

* Address:

* City:

* Zip:

* Home Phone #:

Cell #:

E-Mail Address:

* Emergency Contact:

* Emergency Phone #:

What Church do you attend?

May we take your childs picture?

(for AWANA purposes only)

Who may pick up your child other than parents? (5th grade and below)

Name:		Name:
Name:		Name:

Child 1

*Name:

*Age:

*Shirt Size:

*Birth Date:

Gender:

*Grade: (September)

Allergies/Medical Conditions:

Child 2

Name:

Age:

Shirt Size:

Birth Date:

Gender:

Grade: (September)

Allergies/Medical Conditions:

Child 3

Child's Name:

Age:

Shirt Size:

Birth Date:

Gender:

Grade: (September)

Allergies/Medical Conditions:

Child 4

Child's Name:

Age:

Shirt Size:

Birth Date:

Gender:

Grade: (September)

Allergies/Medical Conditions:

Questions/Comments: