Awana Registration 2023/24

Please fill out this form and click submit.

Today's Date

Parents' Names

This address will receive a confirmation email

Cell Phone

Address

Home Church (if applicable)

Please provide the name(s), gender, and BIRTH DATE(s) for each child who will be attending our Awana Program (3 years-5th grade). Please also include the GRADE they will be going into this fall.

Please let us know what size uniform your child/children will need for Awana. Current sizes include: Cubbies (ages 3-4) vest: S (4), M (5), L (6), XL (8), XXL (10) // Sparks (grades K-2) vest: S (6), M (8), L (10), XL (12), XXL (14), XXXL (16) // T & T (grades 3-5) shirt: YS (10), YM (12), YL (14), AS, AM, AL

Please list any allergies or special instructions for each child:

Name & cell number of individual(s) authorized to pick up child(ren) in case of an emergency.

I give my permission for pictures and/or videos of my child(ren) to be used in publicity for Immanuel Bible Church of Saginaw (except for exclusions listed below), including, but not limited to, use of IBC website, social media, and print media. I understand that my child(ren)'s name(s) will NOT be published.

Please select one option.

Yes, I give permission No, I do not give permission

Comments, Exclusions, etc.

By typing your name here and submitting this form, you are electronically signing your name.

Scholarship

Please select all that apply.

Please contact me with scholarship info.

Uniforms

One Child ($15) Two Children ($30) Three Children ($45) Four Children ($60) Five Children ($75) Six Children ($90) I do not want a uniform at this time ($0)

Amount

Dues (covers all books and materials for the year)

One Child ($15) Two Children ($30) Three Children ($45) Four Children ($60) Five Children ($75) Six Children ($90) Scholarship ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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Awana Registration 2023/24

Description

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