Be a part of AWANA at FBC beginning August 26, 2007 with the AWANA KICKOFF!!

AWANA Clubs will start on September 9, 2007.

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: $8.50   Bag: $5.50    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: $7.50   Bag: $5.00   Dues: $20.00

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

I want to order:

T-Shirt: $12.50 None Size 10 Size 12 Size 14 Size 16   Book: $8.00   Bag: $5.50   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.

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)