ONLINE Tri-City Church AWANA CLUBS REGISTRATION FORM
First Name*
Last Name*
Street Address*
City*
Phone No.*
Grade*
Age
Birthdate*
Church
Parents' Names*
Family Email Address*
Zip*
Comments
This form is ONLY for NEW CLUBBERS to Tri-City Awana Clubs
Cell Phone No.
Additional Clubbers in the same family:
This page was last updated: August 16, 2010
Gender*
Name
Gender
Grade
Age
Birthdate
Name
Gender
Grade
Age
Birthdate
Name
Gender
Grade
Age
Birthdate
Name
Gender
Grade
Age
Birthdate
*Required fields
mm/dd/yy
Returning Clubbers: For changes in address, phone no., email address, please send email to maureencooper@cox.net
Questions? email or call Maureen at 760-727-4994
