Emmanuel Awana Clubs
Commanders: Sam & Asha Meyer
1503 West That Road
[email protected]
Bloomington, IN 47403
(812) 606-3685 / (812) 272-8579
(812) 824-2768
2018-2019 Registration Form An electronic copy of this form is available at www.emmanuelbloom.com. Parent/Guardian Name:
Date:
Mailing Address:
City/Zipcode:
Email Address:
Cell Phone:
Facebook Name:
Text (Y/N):
Adult(s) Responsible for Drop Off/Pick Up of Clubber(s) on Wednesday night if parent/guardian are unavailable. Adult(s) Name:
Adult(s) Number:
Note to parent/guardian: Awana announcements and photos will be posted weekly via Emmanuel Awana Clubs Facebook group. On occasion, we will send out information about activities and/or weather notifications via text message. Signing below confirms that you agree to participate in either one or both of the above forms of communication, and gives us permission to post photos of all Awana prticipants via Emmanuel Awana Clubs Facebook group. Parent/Guardian Signature:
Date :
Clubber(s) Information Name:
Birthday:
Grade:
Registering for which Club? (Please cirlce one) Cubbies (Pre K3- Pre K4)
Sparks (Kindergarten-2nd)
Name:
Birthday:
T&T (3rd - 6th)
Grade:
Registering for which Club? (Please cirlce one) Cubbies (Pre K3- Pre K4)
Sparks (Kindergarten-2nd)
Name:
Birthday:
T&T (3rd - 6th)
Grade:
Registering for which Club? (Please cirlce one) Cubbies (Pre K3- Pre K4)
Sparks (Kindergarten-2nd)
T&T (3rd - 6th)
Medical Conditions (please include clubber(s) name): (i.e. ADHD, allergies, asthma) Parent Expectations: Depending on the need, parents may be asked to volunteer up to three Wednesdays per semester. Please circle the club(s) that you would be interested in working with: Cubbies (Pre K3- Pre K4)
Sparks (Kindergarten-2nd)
T&T (3rd - 6th)
See back of form to calculate registration fees and to order books and supplies.
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2018-2019 Books & Supplies Order Form
Registration Fee: This fee is waived for children of full time Awana workers.
Reg. Fee
Early Registration
$20 per Child
Received on or before August 19th
Registration
$25 per Child
Received after August 19th
$
Children in Cubbies must be 3 years old on or before August 1st and must be potty trained.
Cost HoneyComb Handbook with CD
$12.00
Uniform Vest
$13.00
x
# of Items
=
Total
Circle size: S(4), M(5), L(6), XL(8), 2XL(10) $8.00
(Optional) Handbag
Handbook Assignments = Hangglider (K)/ WingRunner (1st)/ SkyStormer (2nd)
Cost HangGlider/WingRunner/SkyStormer Book
$12.00
Uniform Vest
$13.00
x
# of Items
=
Total
Circle size: S(6), M(8), L(10), XL(12), 2XL(14), 3XL(16) $6.00
(Optional) Drawstring Backpack
$10.00
(Optional) Music CD
Please note that 3rd through 6th graders have the same book and uniform.
Cost
x
# of Items
=
Total
T&T Agents of Grace Handbook (3rd-6th) $12.00 T&T Uniform (3rd-6th) $18.00 Circle size: YS, YM, YL, AS, AM, AL, AXL, A2XL, A3XL (Optional) Drawstring Backpack $6.00
Total for Items Purchased
$
Awana Scholarship Donation (Optional)
$
Total Amount Enclosed
$
Notes: * Make checks payable to Emmanuel Baptist Church with “AWANA Clubs” in the memo. * Shirts and vests sizes tend to run small. * If you have any questions or concerns please contact the Commanders, Sam and Asha Meyer, at 812-606-3685.
Send completed registration forms and applicable payment to the Emmanuel church office.
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