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Wake Chapel Christian Church
Awana Clubs
Information & Registration Form
There is a registration fee for each Awana clubber. This fee helps defray the cost of your childs uniform, handbook(s), awards and prizes for the entire club year. Registration fee schedule:
Cubbies: September-May $20 per child
Sparks: September-May $20 per child
T & T: September-May $20 per child
The cost is 1/2 if joining a club mid-year (After December 2006). We accept cash or a local check. Please bring payment to your child's first club meeting.
Contact Information
( All information is required unless otherwise stated )
Parent / Guardian:
First Name
     Last Name
Street
City    
State   
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FEDERATED STATES OF MICRONESIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
     Zip
Phone Number
(HOME)
Phone Number
(MOBILE)
Please enter same E-Mail address twice
E-Mail
E-Mail
(re-enter address)
Child Registration
Child's Full Name
Birth Date
Grade Completed
Child 1
Child 2
Child 3
Child 4
Child 5
Additional Information
( All information is required unless otherwise stated )
List Individual Authorized to pickup your child/children after Awana Clubs if you are dropping them off. ( will be verified at time of drop off )
.. authorized to pickup ..
On Special Occassions a snack may be given to clubbers, please list all known food and/or other allergies
.. food/other allergies ..
List any other special concerns
.. special concerns ..
How did you hear about our Awana Clubs:   
flyer
friend/family
church banner
newspaper
church mailing
website
other
Have you or your children participated in other Wake Chapel activities?
Do these activities also include Upward Basketball, VBS, or Angel Food Ministries?
.. Participation in these listed activities ..
Would you be interested in learning more at adult programs held at Wake Chapel during Awana Club meetings?
..Adult Programs I am interested in are..
Please include any additional information or comments. Are you a member
of Wake Chapel Christian Church? Do you attend Wake Chapel or any other church? (OPTIONAL)
.. additional information ..
* NOTICE *
If you do not wish to submit this form online, then please print
it out and fax or mail it to the address or number listed at the bottom of the webpage.
Senior Pastor : Ross E. Marion
Pastor of Music & Education : David Brown
Pastor of Youth : Seth Carter
905 Wake Chapel Road, Fuquay-Varina, NC 27526 -- Phone: 919-552-4147 - Fax: 919-552-1000
Email:
info@wakechapelchurch.org
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