Be a part of AWANA at FBC.  Next AWANA Clubs begin August 30, 2009 with the AWANA KICKOFF!!

Child's Last Name*                 Child's First Name*              

Date of Birth*              Select Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec              Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Select 2007 2008 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990     Grade Completed*  Select Not in School Pre-K Kinder 1st 2nd 3rd 4th 5th 6th

Allergies?*           Select Yes No If YES, Please List

Parent's Last Name*               Parent's First Name*              

Cell Number    Phone Number*                 Emergency Number*            

Address*                   Apartment #

City*                       State*                 Zip Code*  

E-Mail Address

Do you attend church?*          Select Yes No   If yes, name of church

Comments?

CUBBIES: (3 - 5 years Old {Not in Kindergarten})

I want to order:

Vest: $10 None Small (4) Medium (5) Large (6) X-Large (8) XX-Large (10)   Book: $10.00  Bag: $5.00    Annual Dues: $20.00

SPARKS: (Kindergarten through 2nd Grade)

I want to order:

Vest:  $10 None Small (6) Medium (8) Large (10) X-Large (12) XX-Large (14) XXX-Large (16)   Book: $10.00   Bag: $5.00   Annual Dues: $20.00

T&T: (3rd through 5th Grade)

I want to order:

T-Shirt: $13.00 None Size 10 Size 12 Size 14 Size 16 Adult Small Adult Medium   Book: $10.00   Bag: $5.00   Annual Dues: $20.00

Payment to be made on first day of attendance at AWANA Clubs.  Cash or Checks accepted.  Make checks payable to First Baptist Church of Laredo.  Payment plans are available; please speak with receptionist at door.

If you are unable to pay for the club, please indicate here. Scholarships are available on a confidential basis.  We will make every effort to not turn away any child.

(* - Required Field)